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General NPI Number Information
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NPI Number | 1487607271
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Entity Type | Organization
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Legal Business Name | CAMINO MEDICAL GROUP
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 515 SOUTH DR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4204
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Country | US
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Telephone | 408-739-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 OLD SAN FRANCISCO RD
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City | SUNNYVALE
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State | CA
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Zip | 94086-6386
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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 | CEO
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Name | RICHARD SLAVIN
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Credential |
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Telephone | 408-739-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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