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General NPI Number Information
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NPI Number | 1922540087
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Entity Type | Individual
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Provider Name | ROZITA MOSHTAGH NATUROPATHIC DOCTOR
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Gender | Female
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 4540 KEARNY VILLA RD STE 211
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City | SAN DIEGO
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State | CA
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Zip | 92123-1586
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Country | US
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Telephone | 310-365-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 2582 LUCIERNAGA ST
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City | CARLSBAD
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State | CA
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Zip | 92009-5819
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Country | US
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Telephone | 310-365-1556
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Fax |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 770
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License Number State | CA
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