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General NPI Number Information
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NPI Number | 1285629899
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Entity Type | Organization
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Legal Business Name | COUNTY OF SANTA CLARA
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 143 N MAIN ST
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City | MILPITAS
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State | CA
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Zip | 95035-4322
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Country | US
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Telephone | 408-885-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103331
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City | PASADENA
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State | CA
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Zip | 91189-3331
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Country | US
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Telephone | 669-299-8165
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | PAUL E LORENZ
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Credential |
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Telephone | 408-885-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 070000085
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License Number State | CA
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