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NPI 1376973263

NPI 1376973263 : AMBER JAEGER MD, INC : REDWOOD CITY, CA

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General NPI Number Information
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    NPI Number           |    1376973263
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMBER JAEGER MD, INC 
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Dates
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    Enumeration Date     |    11/14/2013
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    Last Update Date     |    11/14/2013
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Provider Practice Location Address
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    Address Line         |    401 WARREN ST STE 302 
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    City                 |    REDWOOD CITY
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    State                |    CA
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    Zip                  |    94063-1578
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    Country              |    US
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    Telephone            |    650-701-1882
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    401 WARREN ST STE 302 
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    City                 |    REDWOOD CITY
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    State                |    CA
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    Zip                  |    94063-1578
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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    |    DIRECTOR
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    Name                 |    DR. AMBER LYNN JAEGER 
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    Credential           |    M.D.
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    Telephone            |    650-556-6100
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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       |    29146308
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    License Number State |    CA
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