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General NPI Number Information
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NPI Number | 1134424682
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Entity Type | Organization
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Legal Business Name | AFTER HOURS HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 14651 S BASCOM AVE SUITE 112
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City | LOS GATOS
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State | CA
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Zip | 95032-2014
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Country | US
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Telephone | 408-356-9300
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Fax | 408-356-7924
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Provider Business Mailing Address
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Address Line | 14651 S BASCOM AVE SUITE 112
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City | LOS GATOS
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State | CA
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Zip | 95032-2014
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Country | US
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Telephone | 408-356-9300
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Fax | 408-356-4477
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | MR. GREGORY ADROUNY
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Credential |
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Telephone | 408-356-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A34013
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License Number State | CA
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