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General NPI Number Information
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NPI Number | 1922038256
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Entity Type | Organization
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Legal Business Name | ALLERGY AND RHEUMATOLOGY MEDICAL CLINIC., INC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE SUITE 420
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City | LA JOLLA
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State | CA
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Zip | 92037-1224
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Country | US
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Telephone | 858-457-3270
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Fax | 858-457-5723
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Provider Business Mailing Address
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Address Line | 9850 GENESEE AVE SUITE 420
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City | LA JOLLA
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State | CA
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Zip | 92037-1224
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Country | US
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Telephone | 858-457-3270
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Fax | 858-457-5723
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Authorized Official
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Title or Position | OWNER
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Name | ADRIAN M JAFFER
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Credential | M.D
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Telephone | 858-457-3270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A25563
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License Number State | CA
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