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General NPI Number Information
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NPI Number | 1851303994
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Entity Type | Organization
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Legal Business Name | RADY CHILDREN'S HOSPITAL SAN DIEGO
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3020 CHILDRENS WAY MAIL CODE 5002
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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 | 858-966-4962
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 CHILDRENS WAY MAIL CODE 5002
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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 | 858-966-4962
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Fax |
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Authorized Official
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Title or Position | SR. VP/CFO
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Name | MR. JAMES J ULI
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Credential |
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Telephone | 858-966-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 080000028
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License Number State | CA
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