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General NPI Number Information
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NPI Number | 1417768011
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Entity Type | Organization
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Legal Business Name | CERVANTES MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2880 STORY RD FL 2
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City | SAN JOSE
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State | CA
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Zip | 95127-3942
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Country | US
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Telephone | 408-929-5439
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Fax |
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Provider Business Mailing Address
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Address Line | 120 DARBY CT
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City | SAN JOSE
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State | CA
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Zip | 95110-3610
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Country | US
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Telephone | 408-420-7538
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMANDO J CERVANTES
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Credential |
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Telephone | 408-420-7538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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