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General NPI Number Information
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NPI Number | 1457594087
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Entity Type | Organization
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Legal Business Name | EL CAMINO HOSPITAL
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 555 KNOWLES DR SUITE #100
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City | LOS GATOS
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State | CA
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Zip | 95032-1549
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Country | US
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Telephone | 650-940-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-940-7000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR REV & REIMB
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Name | MING-RONG CHEN WOO
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Credential |
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Telephone | 650-940-7247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 070000660
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License Number State | DE
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