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General NPI Number Information
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NPI Number | 1497700322
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Entity Type | Organization
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Legal Business Name | CFL CHILDREN'S MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2039 FOREST AVE SUITE 304
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City | SAN JOSE
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State | CA
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Zip | 95128-4817
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Country | US
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Telephone | 408-297-5959
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Fax | 408-297-5970
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Provider Business Mailing Address
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Address Line | 2039 FOREST AVE SUITE 304
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City | SAN JOSE
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State | CA
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Zip | 95128-4817
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Country | US
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Telephone | 408-297-5959
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Fax | 408-297-5970
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARCISO THAD PADUA
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Credential | M.D.
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Telephone | 408-947-2697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A45172
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License Number State | CA
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