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General NPI Number Information
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NPI Number | 1043354855
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Entity Type | Organization
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Legal Business Name | COUNTY OF SANTA CLARA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2101 ALEXIAN DR STE 110
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City | SAN JOSE
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State | CA
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Zip | 95116-1901
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Country | US
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Telephone | 408-272-6518
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Fax | 408-272-6569
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Provider Business Mailing Address
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Address Line | 828 S BASCOM AVE STE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-2600
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Country | US
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Telephone | 408-885-5770
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Fax | 408-885-5788
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Authorized Official
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Title or Position | DIR, BEHAVIORAL HEALTH SVCS
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Name | SHERRI TERAO
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Credential |
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Telephone | 408-885-5776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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