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General NPI Number Information
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NPI Number | 1245470053
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Entity Type | Organization
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Legal Business Name | S. J. SALFEN M.D, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 2520 SAMARITAN DR SUITE 210
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City | SAN JOSE
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State | CA
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Zip | 95124-4106
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Country | US
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Telephone | 408-356-8400
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Fax | 408-356-0974
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Provider Business Mailing Address
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Address Line | 3131 S BASCOM AVE SUITE 120
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City | CAMPBELL
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State | CA
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Zip | 95008-6768
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Country | US
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Telephone | 408-377-9877
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Fax | 408-377-9893
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Authorized Official
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Title or Position | PRESIDENT
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Name | SJ SALFEN
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Credential | M.D.
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Telephone | 408-377-9877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | G29984
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License Number State | CA
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