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General NPI Number Information
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NPI Number | 1316481872
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF SILICON VALLEY
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 550 S WINCHESTER BLVD STE 250
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City | SAN JOSE
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State | CA
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Zip | 95128-2526
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Country | US
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Telephone | 408-351-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S WINCHESTER BLVD STE 250
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City | SAN JOSE
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State | CA
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Zip | 95128-2526
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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 | PRESIDENT AND CEO
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Name | JIM HORI
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Credential |
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Telephone | 408-351-6413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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