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General NPI Number Information
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NPI Number | 1467699702
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL CENTER
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 871 ENBORG CT STE. 100
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City | SAN JOSE
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State | CA
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Zip | 95128-2645
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Country | US
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Telephone | 408-885-6048
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Fax |
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Provider Business Mailing Address
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Address Line | 871 ENBORG CT STE. 100
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City | SAN JOSE
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State | CA
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Zip | 95128-2645
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Country | US
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Telephone | 408-885-6048
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Fax |
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Authorized Official
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Title or Position | R.N.
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Name | KATE DEAVER
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Credential |
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Telephone | 408-885-6048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | LCS9724
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License Number State | CA
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