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General NPI Number Information
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NPI Number | 1770849523
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Entity Type | Individual
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Provider Name | JONATHAN READ BEAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 2125 CITRACADO PKWY STE 110
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City | ESCONDIDO
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State | CA
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Zip | 92029-4159
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Country | US
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Telephone | 760-735-7800
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Fax | 760-735-7810
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Provider Business Mailing Address
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Address Line | 2125 CITRACADO PKWY STE 110
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City | ESCONDIDO
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State | CA
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Zip | 92029-4159
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Country | US
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Telephone | 760-735-7800
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Fax | 760-735-7810
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A126546
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License Number State | CA
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