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General NPI Number Information
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NPI Number | 1902051311
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Entity Type | Organization
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Legal Business Name | BERNARD J. URLAUB, MD, INC
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 6699 ALVARADO RD STE. 2210
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City | SAN DIEGO
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State | CA
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Zip | 92120-5238
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Country | US
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Telephone | 619-287-6003
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Fax | 619-287-6038
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Provider Business Mailing Address
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Address Line | 6699 ALVARADO RD STE. 2210
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City | SAN DIEGO
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State | CA
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Zip | 92120-5238
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Country | US
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Telephone | 619-287-6003
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Fax | 619-287-6038
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SONIA L DI STEFANO
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Credential |
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Telephone | 619-287-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | C33988
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License Number State | CA
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