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General NPI Number Information
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NPI Number | 1982723706
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Entity Type | Individual
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Provider Name | EVANGELINE DEOMAMPO LEON-TORRES MPH, CHES
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3851 ROSECRANS ST
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City | SAN DIEGO
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State | CA
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Zip | 92110-3115
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Country | US
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Telephone | 619-692-8023
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Fax | 619-692-8827
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Provider Business Mailing Address
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Address Line | 1729 VALLEY BEND ST
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City | CHULA VISTA
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State | CA
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Zip | 91913-1766
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Country | US
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Telephone | 619-656-0528
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Fax | 619-656-0528
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | CHES#5648
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License Number State | HI
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