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General NPI Number Information
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NPI Number | 1336381003
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Entity Type | Organization
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Legal Business Name | J & A DRENNON INC
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 08/14/2009
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Provider Practice Location Address
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Address Line | 15066 LOS GATOS ALMADEN RD 120
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City | LOS GATOS
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State | CA
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Zip | 95032-3909
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Country | US
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Telephone | 408-390-1150
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Fax | 408-351-4344
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Provider Business Mailing Address
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Address Line | 2500 CHURCH AVE
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City | SAN MARTIN
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State | CA
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Zip | 95046-9106
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Country | US
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Telephone | 408-390-1150
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Fax | 408-351-4344
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Authorized Official
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Title or Position | CO-OWNER
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Name | JEFFFREY DRENNON
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Credential |
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Telephone | 408-390-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number | 28649
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 28649
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 28649
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License Number State | CA
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