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General NPI Number Information
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NPI Number | 1518099977
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Entity Type | Individual
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Provider Name | JANET MALDONADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 1750 EL CAMINO REAL SUITE NUMBER 206
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City | BURLINGAME
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State | CA
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Zip | 94010-3228
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Country | US
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Telephone | 650-692-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CALIFORNIA ST UNIT 14B
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-0001
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Country | US
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Telephone | 415-495-4978
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A89537
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License Number State | CA
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