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General NPI Number Information
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NPI Number | 1053597138
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Entity Type | Individual
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Provider Name | GARRETT CHRISTOPHER DAUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 20980 REDWOOD RD SUITE 205
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5930
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Country | US
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Telephone | 510-390-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 25338 BUCKEYE DR
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City | CASTRO VALLEY
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State | CA
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Zip | 94552-5462
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Country | US
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Telephone | 510-259-8227
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G55616
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00040757
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | G65616
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD00040757
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License Number State | WA
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