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General NPI Number Information
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NPI Number | 1467295600
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Entity Type | Individual
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Provider Name | WHITNEY STANNARD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 15100 LOS GATOS BLVD STE 4
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City | LOS GATOS
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State | CA
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Zip | 95032-2028
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Country | US
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Telephone | 408-495-5770
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Fax | 650-912-1129
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Provider Business Mailing Address
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Address Line | 827 ALTOS OAKS DR STE 4
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City | LOS ALTOS
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State | CA
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Zip | 94024-5490
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Country | US
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Telephone | 408-495-5770
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Fax | 650-912-1129
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA66693
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License Number State | CA
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