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General NPI Number Information
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NPI Number | 1316179294
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Entity Type | Organization
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Legal Business Name | BARBARA A. PHELPS-SANDALL MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 2485 HOSPITAL DR SUITE 321
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4101
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Country | US
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Telephone | 650-988-7830
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Fax | 650-966-9207
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Provider Business Mailing Address
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Address Line | 2485 HOSPITAL DR SUITE 321
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4101
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Country | US
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Telephone | 650-988-7830
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Fax | 650-966-9207
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. BARBARA A. PHELPS-SANDALL
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Credential | M.D.
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Telephone | 650-988-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G071692
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License Number State | CA
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