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General NPI Number Information
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NPI Number | 1285985820
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Entity Type | Individual
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Provider Name | ANNETTE HULSE D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2012
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 1 1ST ST STE 3
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City | LOS ALTOS
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State | CA
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Zip | 94022-2753
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Country | US
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Telephone | 650-960-3485
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Fax |
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Provider Business Mailing Address
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Address Line | 1747 KIRCHER CT.
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City | LOS ALTOS
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State | CA
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Zip | 94024-6208
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Country | US
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Telephone | 650-960-3485
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 20A12412
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License Number State | CA
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