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General NPI Number Information
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NPI Number | 1154363448
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Entity Type | Individual
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Provider Name | BARBARA ANN PHELPS-SANDALL MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 2485 HOSPITAL DR SUITE #321
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4101
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Country | US
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Telephone | 650-988-7830
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Fax | 650-966-9207
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Provider Business Mailing Address
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Address Line | 16201 SHANNON RD
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City | LOS GATOS
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State | CA
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Zip | 95032-4728
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Country | US
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Telephone | 408-358-5057
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G 071692
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License Number State | CA
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