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General NPI Number Information
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NPI Number | 1558678680
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Entity Type | Organization
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Legal Business Name | BLUE NOTE PARTNERS LLC
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 3687 OLD SANTA RITA RD SUITE 202
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City | PLEASANTON
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State | CA
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Zip | 94588-3469
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Country | US
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Telephone | 925-730-0081
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Fax | 925-730-0086
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Provider Business Mailing Address
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Address Line | 1289 S PARK VICTORIA DR SUITE 205
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City | MILPITAS
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State | CA
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Zip | 95035-6996
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Country | US
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Telephone | 408-262-1289
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Fax | 925-730-0086
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. CLEVE YU
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Credential |
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Telephone | 925-730-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 54335
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License Number State | CA
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