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General NPI Number Information
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NPI Number | 1194750877
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Entity Type | Organization
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Legal Business Name | WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-608-3203
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Fax | 510-742-9285
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Provider Business Mailing Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-608-3203
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Fax | 510-742-9285
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. NANCY FARBER
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Credential |
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Telephone | 510-745-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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