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General NPI Number Information
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NPI Number | 1124813225
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Entity Type | Organization
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Legal Business Name | SILOETTE
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1564 MIRAMONTE AVE # A
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City | LOS ALTOS
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State | CA
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Zip | 94024-6003
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Country | US
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Telephone | 650-917-1771
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Fax | 650-917-1551
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Provider Business Mailing Address
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Address Line | 1564 MIRAMONTE AVE # A
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City | LOS ALTOS
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State | CA
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Zip | 94024-6003
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Country | US
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Telephone | 650-917-1771
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Fax |
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Authorized Official
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Title or Position | OWNER/CERTIFIED FITTER
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Name | JOANNE CARRUTH
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Credential |
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Telephone | 650-917-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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