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General NPI Number Information
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NPI Number | 1972795573
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Entity Type | Organization
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Legal Business Name | GYNECOLOGIC ONCOLOGY SPECIALISTS,P.C.
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 2400 BATH ST STE 205
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4351
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Country | US
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Telephone | 805-324-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MEIGS RD # A334
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City | SANTA BARBARA
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State | CA
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Zip | 93109-1900
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Country | US
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Telephone | 805-570-7799
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Fax | 805-980-1742
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNE RODRIGUEZ
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Credential | MD
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Telephone | 805-570-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | A45615
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License Number State | CA
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