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General NPI Number Information
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NPI Number | 1053551994
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Entity Type | Individual
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Provider Name | CLAUDIA REAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 2577 SAMARITAN DR SUITE830
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City | SAN JOSE
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State | CA
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Zip | 95124-4100
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Country | US
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Telephone | 408-356-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 656 CRAGMONT AVE
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City | BERKELEY
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State | CA
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Zip | 94708-1343
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Country | US
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Telephone | 510-526-3394
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G54129
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License Number State | CA
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