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General NPI Number Information
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NPI Number | 1063692762
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Entity Type | Organization
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Legal Business Name | SAN MATEO COUNTY
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 2000 ALAMEDA DE LAS PULGAS STE 235
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City | SAN MATEO
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State | CA
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Zip | 94403-1269
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Country | US
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Telephone | 650-573-2517
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Fax | 650-573-8939
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Provider Business Mailing Address
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Address Line | 2000 ALAMEDA DE LAS PULGAS STE 235
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City | SAN MATEO
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State | CA
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Zip | 94403-1269
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Country | US
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Telephone | 650-573-2517
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Fax | 650-573-8939
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Authorized Official
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Title or Position | IT SPECIALIST
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Name | MS. KIM PIJMA
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Credential |
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Telephone | 650-573-2517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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