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General NPI Number Information
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NPI Number | 1396049334
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Entity Type | Organization
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Legal Business Name | SARKIS BANIPALSIN MD
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 1610 WESTWOOD DR STE 5
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City | SAN JOSE
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State | CA
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Zip | 95125-5110
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Country | US
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Telephone | 408-448-2264
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Fax | 408-266-2264
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Provider Business Mailing Address
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Address Line | 1610 WESTWOOD DR STE 5
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City | SAN JOSE
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State | CA
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Zip | 95125-5110
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Country | US
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Telephone | 408-448-2264
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Fax | 408-266-2264
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Authorized Official
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Title or Position | CEO, OWNER
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Name | SARKIS BANIPALSIN
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Credential | M.D.
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Telephone | 408-448-2264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A102655
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License Number State | CA
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