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General NPI Number Information
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NPI Number | 1861477846
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Entity Type | Organization
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Legal Business Name | SCRIPPS HEALTH
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 130 CEDAR RD
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City | VISTA
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State | CA
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Zip | 92083-5102
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Country | US
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Telephone | 760-806-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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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 | 760-806-5400
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Fax |
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Authorized Official
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Title or Position | CORPORATE EXECUTIVE VP/CFO
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Name | MR. BRETT TANDE
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Credential |
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Telephone | 858-678-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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