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NPI 1033149083

NPI 1033149083 : COMMUNITYHOSPITALOFLOSGATOS,INC. : LOS GATOS, CA

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General NPI Number Information
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    NPI Number           |    1033149083
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNITYHOSPITALOFLOSGATOS,INC. 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    03/16/2021
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Provider Practice Location Address
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    Address Line         |    815 POLLARD RD 
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    City                 |    LOS GATOS
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    State                |    CA
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    Zip                  |    95032-1438
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    Country              |    US
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    Telephone            |    408-378-6131
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    FILE57434 
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    City                 |    LOSANGELES
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    State                |    CA
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    Zip                  |    90074-7434
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    Country              |    US
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    Telephone            |    209-578-2513
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    Fax                  |    408-866-4003
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Authorized Official
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    Title or Position    |    VP OF GOVT PROGRAMS, TENET
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    Name                 |    MR. CRAIG C. ARMIN 
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    Credential           |    
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    Telephone            |    818-436-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    070000025
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    License Number State |    CA
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