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General NPI Number Information
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NPI Number | 1417009705
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Entity Type | Organization
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Legal Business Name | AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 210 BALDWIN AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-3915
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Country | US
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Telephone | 510-579-6581
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Fax | 650-579-7851
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Provider Business Mailing Address
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Address Line | 210 BALDWIN AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-3915
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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 | MEDICAL DIRECTOR
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Name | CONNIE STREIFINGER KNIVETON
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Credential | MD
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Telephone | 650-579-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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