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General NPI Number Information
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NPI Number | 1740692714
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Entity Type | Organization
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Legal Business Name | SCRIPPS CLINIC
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 10666 N TORREY PINES RD # MS 212A
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-554-7876
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Fax |
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Provider Business Mailing Address
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Address Line | 10666 N TORREY PINES RD # MS 212A
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ENDOCRINOLOGY FELLOW
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Name | DR. ASHLEY ANN THORSELL
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Credential | M.D.
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Telephone | 858-554-7876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A117652
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A117652
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A117652
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License Number State | CA
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