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General NPI Number Information
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NPI Number | 1679678296
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Entity Type | Individual
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Provider Name | BEVERLY BARBOZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 320 DARDANELLI LN SUITE #26B
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City | LOS GATOS
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State | CA
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Zip | 95032-1440
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Country | US
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Telephone | 408-866-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 12961 VILLAGE DR STE A
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City | SARATOGA
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State | CA
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Zip | 95070-4158
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Country | US
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Telephone | 408-866-6282
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G084186
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License Number State | CA
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