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General NPI Number Information
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NPI Number | 1851481121
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Entity Type | Organization
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Legal Business Name | SCRIPPS CARDIOLOGY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9888 GENESEE AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-1205
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Country | US
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Telephone | 858-824-2900
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Fax | 858-824-2910
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Provider Business Mailing Address
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Address Line | 9834 GENESEE AVE SUITE 300
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City | LA JOLLA
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State | CA
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Zip | 92037-1223
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Country | US
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Telephone | 858-824-2900
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Fax | 858-824-2910
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARC K. EFFRON
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Credential | M.D.
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Telephone | 858-824-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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