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General NPI Number Information
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NPI Number | 1801060843
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Entity Type | Individual
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Provider Name | JEROME ALCALA SIGUA MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 3110 CAMINO DEL RIO S
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City | SAN DIEGO
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State | CA
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Zip | 92108-3812
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Country | US
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Telephone | 858-552-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 3110 CAMINO DEL RIO S
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City | SAN DIEGO
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State | CA
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Zip | 92108-3812
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Country | US
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Telephone | 858-552-8585
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 55507
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME 119989
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License Number State | FL
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