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General NPI Number Information
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NPI Number | 1528165883
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Entity Type | Organization
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Legal Business Name | COUNTY OF SANTA CLARA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2220 MOORPARK AVE FL 2
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City | SAN JOSE
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State | CA
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Zip | 95128-2613
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Country | US
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Telephone | 408-885-4272
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Fax | 408-885-4275
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Provider Business Mailing Address
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Address Line | 2220 MOORPARK AVE FL 2
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City | SAN JOSE
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State | CA
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Zip | 95128-2613
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Country | US
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Telephone | 408-885-4272
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Fax | 408-885-4275
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | MS. PATRICIA A DADONE
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Credential |
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Telephone | 408-885-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CPH1281
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License Number State | CA
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