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General NPI Number Information
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NPI Number | 1275669640
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Entity Type | Organization
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Legal Business Name | FOOTHILL COLLEGE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12345 EL MONTE RD
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-4599
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Country | US
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Telephone | 965-094-9724
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Fax | 650-949-7160
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Provider Business Mailing Address
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Address Line | 12345 S EL MONTE RD
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-4504
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Country | US
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Telephone | 650-949-7243
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Fax | 650-949-7160
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Authorized Official
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Title or Position | HEALTH SERVICES COORDINATOR
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Name | MS. LORRAINE NAOMI KITAJIMA
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Credential | NP
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Telephone | 650-949-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | CA
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