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General NPI Number Information
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NPI Number | 1972779189
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Entity Type | Individual
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Provider Name | MARTINA CHIODI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 24910 LAS BRISAS RD SUITE 108
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City | MURRIETA
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State | CA
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Zip | 92562-4010
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Country | US
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Telephone | 951-461-2229
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Fax | 951-461-2771
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Provider Business Mailing Address
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Address Line | 24910 LAS BRISAS RD SUTIE 108
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City | MURRIETA
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State | CA
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Zip | 92562-4010
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Country | US
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Telephone | 951-461-2229
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Fax | 951-461-2771
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A102206
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | A102206
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License Number State | CA
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