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General NPI Number Information
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NPI Number | 1306344510
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Entity Type | Organization
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Legal Business Name | EL CAMINO HOSPITAL
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 2500 GRANT RD STE 1B20 SUITE 1B20
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-988-8240
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Fax | 650-988-8245
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Provider Business Mailing Address
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Address Line | 2500 GRANT RD STE 1B20
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4378
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Country | US
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Telephone | 650-988-8240
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Fax | 650-988-8245
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MARIAN TAY
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Credential |
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Telephone | 650-988-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55879
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License Number State | CA
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