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General NPI Number Information
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NPI Number | 1043302540
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Entity Type | Individual
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Provider Name | HENRY WARD TRUEBLOOD MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 751S BASCOM AVE GENERAL SURGERY DEPT
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City | SAN JOSE
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State | CA
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Zip | 95128
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Country | US
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Telephone | 408-885-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 424 SANDHILL CIRCLE
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 408-885-5000
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G44655
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | G44655
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License Number State | CA
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