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General NPI Number Information
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NPI Number | 1316338775
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Entity Type | Organization
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Legal Business Name | ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 749 STORY RD STE 50
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City | SAN JOSE
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State | CA
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Zip | 95122-2600
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Country | US
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Telephone | 669-800-6991
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 MOORPARK AVE STE 319
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City | SAN JOSE
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State | CA
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Zip | 95128-2625
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Country | US
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Telephone | 408-975-2730
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Fax | 408-975-2745
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Authorized Official
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Title or Position | CEO AND PRESIDENT
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Name | SARITA KOHLI
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Credential | LMFT, MBA
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Telephone | 408-975-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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