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General NPI Number Information
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NPI Number | 1124939640
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Entity Type | Organization
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Legal Business Name | WILLOW GLEN MEDICAL FOUNDATION
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1226 LINCOLN AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95125-3025
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Country | US
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Telephone | 408-295-1005
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Fax | 408-295-2008
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Provider Business Mailing Address
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Address Line | 1226 LINCOLN AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95125-3025
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Country | US
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Telephone | 408-295-1005
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Fax | 408-295-1008
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIAN LINDSAY
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Credential | MD
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Telephone | 408-460-5869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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