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General NPI Number Information
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NPI Number | 1881607984
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Entity Type | Individual
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Provider Name | ADRIENNE L LOSTETTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 3030 CHILDREN'S WAY STE 112
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City | SAN DIEGO
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State | CA
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Zip | 92123-4226
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Country | US
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Telephone | 325-677-2801
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Fax | 325-677-9110
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Provider Business Mailing Address
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Address Line | 3860 CALLE FORTUNADA STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-4802
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Country | US
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Telephone | 858-502-1135
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Fax | 858-636-4319
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K2953
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License Number State | TX
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