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General NPI Number Information
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NPI Number | 1619035797
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Entity Type | Organization
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Legal Business Name | EVA S. QUIROZ, M.D., INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-402-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 AVILA TERRAZA
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City | FREMONT
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State | CA
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Zip | 94538-4601
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Country | US
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Telephone | 510-790-2897
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVA S QUIROZ
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Credential | M.D.
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Telephone | 510-790-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G86961
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License Number State | CA
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