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General NPI Number Information
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NPI Number | 1942120787
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Entity Type | Organization
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Legal Business Name | MAREA MD
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 280 RIVERVIEW PKWY STE 101
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City | SANTEE
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State | CA
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Zip | 92071-5832
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Country | US
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Telephone | 619-363-2330
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Fax | 619-353-2550
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Provider Business Mailing Address
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Address Line | 415 LAUREL ST # 3149
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City | SAN DIEGO
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State | CA
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Zip | 92101-1605
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Country | US
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Telephone | 619-363-2330
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Fax | 619-353-2550
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JOYCE ILDESA
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Credential | MD
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Telephone | 619-665-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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