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General NPI Number Information
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NPI Number | 1225049042
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Entity Type | Organization
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Legal Business Name | LOS GATOS COMMUNITY CT, INC.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 W PARR AVE SUITE F
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City | LOS GATOS
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State | CA
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Zip | 95032-1442
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Country | US
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Telephone | 408-378-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W PARR AVE SUITE F
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City | LOS GATOS
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State | CA
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Zip | 95032-1442
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Country | US
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Telephone | 408-378-0131
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | A. RICHARD ADROUNY
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Credential | MD
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Telephone | 408-378-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number |
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License Number State |
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