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General NPI Number Information
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NPI Number | 1629234760
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Entity Type | Organization
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Legal Business Name | EMQ
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 499 LOMA AVENUE
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City | LOS GATOS
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State | CA
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Zip | 95030
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Country | US
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Telephone | 408-497-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 499 LOMA AVENUE
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City | LOS GATOS
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State | CA
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Zip | 95030
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Country | US
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Telephone | 408-497-7323
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Fax |
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Authorized Official
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Title or Position | MAT1
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Name | MISS ZAINAB HANNAH SEISASY
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Credential |
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Telephone | 408-497-7323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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