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NPI 1902881063

NPI 1902881063 : SCRIPPS HEALTH : ENCINITAS, CA

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General NPI Number Information
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    NPI Number           |    1902881063
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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     |    03/04/2020
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Provider Practice Location Address
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    Address Line         |    310 SANTA FE DR 
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    City                 |    ENCINITAS
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    State                |    CA
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    Zip                  |    92024-5110
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    Country              |    US
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    Telephone            |    760-753-5594
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    Fax                  |    858-784-5922
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Provider Business Mailing Address
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    Address Line         |    10790 RANCHO BERNARDO RD # 4S-303 
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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            |    858-927-5328
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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                 |     RICHARD  ROTHBERGER 
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    Credential           |    
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    Telephone            |    858-678-6919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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