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General NPI Number Information
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NPI Number | 1295605178
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Entity Type | Organization
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Legal Business Name | COUNTY OF SAN MATEO
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 222 W 39TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4364
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Country | US
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Telephone | 650-573-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 801 GATEWAY BLVD STE 200
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7402
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Country | US
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Telephone | 650-421-6557
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JENNIFER PAPA
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Credential |
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Telephone | 650-573-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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