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General NPI Number Information
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NPI Number | 1740467083
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Entity Type | Organization
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Legal Business Name | LEAH FARINAS SURGICAL SERVICES INC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 6699 ALVARADO RD STE 2210
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City | SAN DIEGO
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State | CA
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Zip | 92120-5240
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Country | US
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Telephone | 619-522-2900
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Fax | 619-923-4000
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Provider Business Mailing Address
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Address Line | 6699 ALVARADO RD STE 2210
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City | SAN DIEGO
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State | CA
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Zip | 92120-5240
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Country | US
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Telephone | 619-522-2900
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Fax | 619-923-4000
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEAH P FARINAS
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Credential | MD
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Telephone | 619-522-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A88077
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License Number State | CA
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