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General NPI Number Information
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NPI Number | 1548573744
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Entity Type | Organization
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Legal Business Name | HENRY J. FEE MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 14911 NATIONAL AVE SUITE 6
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City | LOS GATOS
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State | CA
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Zip | 95032-2632
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Country | US
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Telephone | 408-358-8771
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Fax |
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Provider Business Mailing Address
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Address Line | 14911 NATIONAL AVE SUITE 6
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City | LOS GATOS
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State | CA
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Zip | 95032-2632
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Country | US
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Telephone | 408-358-8771
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY JORDAN FEE
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Credential | MD
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Telephone | 408-358-8771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G286280
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License Number State | CA
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