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General NPI Number Information
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NPI Number | 1861034753
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL MCCREA ND
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Gender | Male
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 8950 VILLA LA JOLLA DR STE A107
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City | LA JOLLA
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State | CA
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Zip | 92037-1708
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Country | US
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Telephone | 858-254-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 APERTURE CIR
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City | SAN DIEGO
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State | CA
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Zip | 92108-2628
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Country | US
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Telephone | 619-606-7367
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1086
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License Number State | CA
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