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General NPI Number Information
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NPI Number | 1174923684
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD MAR MONTE, INC.
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 1032 A STREET
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City | HAYWARD
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State | CA
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Zip | 94541-4106
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Country | US
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Telephone | 510-300-3800
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Fax | 510-300-3850
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Provider Business Mailing Address
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Address Line | 1691 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-2203
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Country | US
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Telephone | 408-795-3619
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Fax | 408-287-0405
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Authorized Official
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Title or Position | CFO
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Name | MR. TOM MOTSIFF
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Credential | MHA, CMA
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Telephone | 408-795-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 2510
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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