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General NPI Number Information
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NPI Number | 1588992101
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Entity Type | Individual
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Provider Name | CHERISE ROUNDY
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Gender | Female
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 333 W SAN CARLOS ST SUITE 1680
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City | SAN JOSE
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State | CA
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Zip | 95110-2726
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Country | US
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Telephone | 408-487-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 656 CHEMEKETA DR
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City | SAN JOSE
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State | CA
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Zip | 95123-3012
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Country | US
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Telephone | 408-826-4906
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 662380
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License Number State | CA
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