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General NPI Number Information
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NPI Number | 1356441752
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Entity Type | Organization
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Legal Business Name | PENINSULA WOMENS HEALTH
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1828 EL CAMINO REAL #805
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City | BURLINGAME
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State | CA
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Zip | 94010
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Country | US
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Telephone | 650-692-3818
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Fax | 650-552-0387
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Provider Business Mailing Address
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Address Line | 1828 EL CAMINO REAL #805
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City | BURLINGAME
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State | CA
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Zip | 94010
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Country | US
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Telephone | 650-692-3818
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Fax | 650-552-0387
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Authorized Official
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Title or Position | MANAGING PARTNER PHYSICIAN
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Name | ANDREW H JUROW
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Credential | MD
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Telephone | 650-692-3818
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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 |
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License Number State |
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