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General NPI Number Information
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NPI Number | 1184038895
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Entity Type | Individual
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Provider Name | NAOMI BITOW MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 20101 LAKE CHABOT RD FL 3
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5305
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Country | US
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Telephone | 510-886-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1623B 6TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37208-2215
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Country | US
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Telephone | 617-834-3314
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A150788
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R74638
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License Number State | AZ
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