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NPI 1134291230

NPI 1134291230 : CLARE VROOM FNP : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1134291230
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    Entity Type          |    Individual 
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    Provider Name        |    CLARE VROOM FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    250 HOSPITAL PKWY PRE-OP CLINIC
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95119-1103
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    Country              |    US
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    Telephone            |    408-363-4583
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    Fax                  |    408-363-4566
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Provider Business Mailing Address
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    Address Line         |    275 HOSPITAL PARKWAY PRE OP CLINIC
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95119
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    Country              |    US
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    Telephone            |    408-363-4583
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    Fax                  |    408-363-4566
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    NPF 10277
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    License Number State |    CA
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