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General NPI Number Information
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NPI Number | 1508997438
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Entity Type | Individual
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Provider Name | PHILLIP HARRY VAN WHY 24720000X
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | USCG AIR STATION SAN FRANCISCO SFO INTL. AIRPORT, BLDG 1020
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City | SAN FRANCISCO
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State | CA
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Zip | 94128-3099
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Country | US
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Telephone | 650-808-2937
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Fax | 650-808-2916
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Provider Business Mailing Address
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Address Line | 608 AKRON STREET
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043
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Country | US
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Telephone | 650-386-6613
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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