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General NPI Number Information
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NPI Number | 1770799108
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Entity Type | Organization
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Legal Business Name | RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3020 CHILDRENS WAY MC 6013
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City | SAN DIEGO
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State | CA
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Zip | 92123-4223
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Country | US
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Telephone | 619-420-6511
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Fax | 619-420-5531
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Provider Business Mailing Address
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Address Line | 9127 TOGAN AVE
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City | SAN DIEGO
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State | CA
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Zip | 92129-2521
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Country | US
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Telephone | 858-538-9830
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Fax |
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Authorized Official
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Title or Position | CARE COORDINATOR RN (CCP)
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Name | SANDRA M. SEITZ
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Credential | RN
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Telephone | 619-420-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 533097
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License Number State | CA
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