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General NPI Number Information
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NPI Number | 1629140454
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Entity Type | Individual
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Provider Name | ANN K. EASTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1537 EUCLID AVE
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City | BERKELEY
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State | CA
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Zip | 94708-1906
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Country | US
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Telephone | 510-993-7907
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Fax |
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Provider Business Mailing Address
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Address Line | 14355 MIRANDA WAY
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-2032
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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 |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G63786
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License Number State | CA
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