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General NPI Number Information
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NPI Number | 1891117941
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Entity Type | Organization
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Legal Business Name | ENCINITAS WOMENS HEALTH INC.
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 320 SANTA FE DR SUITE LL4
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City | ENCINITAS
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State | CA
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Zip | 92024-5138
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Country | US
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Telephone | 248-890-4643
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 SAPPHIRE DR SUITE 103
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City | CARLSBAD
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State | CA
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Zip | 92011-4215
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Country | US
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Telephone | 760-466-7646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANURADHA RODE
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Credential | M.D.
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Telephone | 248-890-4643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 111924
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License Number State | CA
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