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General NPI Number Information
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NPI Number | 1174698468
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Entity Type | Organization
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Legal Business Name | STANFORD HOSPITAL AND CLINICS
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 3375 HILLVIEW
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City | PALO ALTO
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State | CA
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Zip | 94305
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Country | US
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Telephone | 650-725-5635
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Fax | 650-736-1474
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Provider Business Mailing Address
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Address Line | 3375 HILLVIEW
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City | PALO ALTO
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State | CA
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Zip | 94305
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Country | US
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Telephone | 650-725-5635
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Fax | 650-736-1474
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Authorized Official
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Title or Position | INTERIM ADMINISTRATIVE DIRECTOR
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Name | MR. DANIEL L BARRIO
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Credential | CLS MCE PHARMD
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Telephone | 650-575-5968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF332530
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License Number State | CA
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