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General NPI Number Information
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NPI Number | 1164947883
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Entity Type | Organization
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Legal Business Name | XSITEHEALTH
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 2655 SEELY AVE
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City | SAN JOSE
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State | CA
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Zip | 95134-1931
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Country | US
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Telephone | 408-515-5902
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Fax |
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Provider Business Mailing Address
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Address Line | 414 S MAIN ST
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City | MILPITAS
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State | CA
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Zip | 95035-5319
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Country | US
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Telephone | 408-934-0693
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BEHNAZ SADEGHY
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Credential |
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Telephone | 408-515-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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