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Individual
DR. NICHOLAS DANIEL URRUTIA
Active
Individual
DR. NICHOLAS DANIEL URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A122953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122953
MEDICARE
CA
05
—
A122953
—
CA
Enumeration date
11/30/2012
Last updated
11/22/2013
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