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General NPI Number Information
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NPI Number | 1306700869
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Entity Type | Organization
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Legal Business Name | TURNOUT MEDICAL GROUP WEST PC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 325 S 1ST ST STE 200
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City | SAN JOSE
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State | CA
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Zip | 95113-2835
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Country | US
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Telephone | 800-499-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 2683 VIA DE LA VALLE STE G505
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City | DEL MAR
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State | CA
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Zip | 92014-1911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS ADMIN
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Name | ITAI HIRSCH
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Credential |
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Telephone | 800-499-8876
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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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