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General NPI Number Information
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NPI Number | 1508443235
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Entity Type | Individual
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Provider Name | JIA GUO MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2021
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2101 ALEXIAN DR STE D
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City | SAN JOSE
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State | CA
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Zip | 95116-1901
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Country | US
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Telephone | 408-885-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 ALEXIAN DR STE D
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City | SAN JOSE
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State | CA
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Zip | 95116-1901
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Country | US
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Telephone | 408-885-5000
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A201442
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD215932
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License Number State | OR
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