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General NPI Number Information
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NPI Number | 1306204342
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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 | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 820 ENBORG COURT
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City | SAN JOSE
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State | CA
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Zip | 95128
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Country | US
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Telephone | 408-207-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 RAILROAD AVENUE #103-205
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City | PITTSBURG
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State | CA
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Zip | 94565
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Country | US
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Telephone | 408-207-3138
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Fax |
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Authorized Official
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Title or Position | MFT/PROGRAM MANAGER
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Name | MS. MICHELLE HO
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Credential |
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Telephone | 408-885-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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