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General NPI Number Information
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NPI Number | 1841579455
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Entity Type | Individual
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Provider Name | VARINTHREJ PITIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 3811 VALLEY CENTRE DR # S99
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City | SAN DIEGO
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State | CA
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Zip | 92130
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Country | US
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Telephone | 858-764-3028
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD 4S-205 IN ADDRESS 2 BOX
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-605-7171
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A122811
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A122811
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License Number State | CA
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