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General NPI Number Information
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NPI Number | 1508901539
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Entity Type | Organization
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Legal Business Name | MAMA BABY OB-GYN INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 N BASCOM AVE SUITE 102
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City | SAN JOSE
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State | CA
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Zip | 95128-1811
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Country | US
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Telephone | 408-271-6500
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Fax | 408-271-8828
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Provider Business Mailing Address
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Address Line | 105 N BASCOM AVE SUITE 102
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City | SAN JOSE
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State | CA
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Zip | 95128-1811
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Country | US
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Telephone | 408-271-6500
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Fax | 408-271-8828
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DR. VISHVJIT S NALWA
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Credential | PH.D.
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Telephone | 408-271-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A86578
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License Number State | CA
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