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General NPI Number Information
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NPI Number | 1578445227
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Entity Type | Organization
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Legal Business Name | MY PARTNER DOC INC.
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5201 NORRIS CANYON RD STE 100
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City | SAN RAMON
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State | CA
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Zip | 94583-5410
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Country | US
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Telephone | 925-872-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 3141 STEVENS CREEK BLVD # 42045
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City | SAN JOSE
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State | CA
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Zip | 95117-1141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN MARCELLUS DENNINGS
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Credential | MD
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Telephone | 925-872-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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