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General NPI Number Information
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NPI Number | 1104574649
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Entity Type | Organization
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Legal Business Name | COWELL CENTER (SANTA CLARA UNIVERSITY)
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 500 EL CAMINO REAL BLDG. 701 (COWELL CENTER)
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City | SANTA CLARA
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State | CA
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Zip | 95053
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Country | US
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Telephone | 405-554-4501
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Fax |
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Provider Business Mailing Address
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Address Line | 500 EL CAMINO REAL BLDG. 701 (COWELL CENTER)
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City | SANTA CLARA
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State | CA
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Zip | 95053
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Country | US
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Telephone | 408-554-2379
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Fax |
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | TAMMY OH
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Credential |
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Telephone | 408-554-2379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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