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General NPI Number Information
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NPI Number | 1669360681
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Entity Type | Organization
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Legal Business Name | WASHINGTON TOWNSHIP MEDICAL FOUNDATION
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2682 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1619
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Country | US
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Telephone | 510-248-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 39300 CIVIC CENTER DR STE 370
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City | FREMONT
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State | CA
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Zip | 94538-2397
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Country | US
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Telephone | 510-248-1000
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE
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Name | MELISSA CORONA
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Credential |
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Telephone | 510-248-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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