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General NPI Number Information
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NPI Number | 1639219884
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Entity Type | Organization
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Legal Business Name | NASH MEDICAL GROUP AND PSYCHOLOGICAL SERVICES, INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 2485 HOSPITAL DR STE 361
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4103
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Country | US
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Telephone | 650-988-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 2485 HOSPITAL DR STE 361
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4103
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Country | US
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Telephone | 650-988-3209
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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. CARL R NASH
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Credential | M.D.
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Telephone | 650-988-3290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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