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General NPI Number Information
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NPI Number | 1609087220
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Entity Type | Individual
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Provider Name | JANE KAZUMI DARMITZEL
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15495 LOS GATOS BLVD SUITE F
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City | LOS GATOS
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State | CA
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Zip | 95032-2544
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Country | US
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Telephone | 408-356-8412
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Fax |
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Provider Business Mailing Address
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Address Line | 5098 BARRON PARK DR
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City | SAN JOSE
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State | CA
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Zip | 95136-2903
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Country | US
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Telephone | 408-226-2107
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A60795
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License Number State | CA
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