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General NPI Number Information
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NPI Number | 1386148542
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Entity Type | Individual
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Provider Name | JEFFREY ERNEST FERRELL MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 730 WELCH RD
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City | PALO ALTO
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State | CA
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Zip | 94304-1503
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Country | US
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Telephone | 650-721-1811
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Fax | 650-725-8375
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Provider Business Mailing Address
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Address Line | 453 QUARRY RD FL 3
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City | PALO ALTO
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State | CA
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Zip | 94304-1419
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Country | US
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Telephone | 650-725-6550
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Fax | 415-728-9704
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | A164263
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License Number State | CA
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