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General NPI Number Information
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NPI Number | 1497871883
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Entity Type | Organization
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Legal Business Name | DIRECT CARE MEDICAL CLINIC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7880 WREN AVE STE C134
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City | GILROY
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State | CA
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Zip | 95020-7801
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Country | US
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Telephone | 408-842-1316
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Fax | 408-842-6126
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Provider Business Mailing Address
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Address Line | 7880 WREN AVE STE C134
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City | GILROY
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State | CA
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Zip | 95020-7801
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Country | US
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Telephone | 408-842-1316
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Fax | 408-842-6126
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOSEPH C BARBARA
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Credential |
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Telephone | 408-842-0278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 528075
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License Number State | CA
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