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NPI 1689620478

NPI 1689620478 : SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY : GILROY, CA

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General NPI Number Information
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    NPI Number           |    1689620478
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY 
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Dates
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    Enumeration Date     |    05/25/2006
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    9300 WREN AVE 
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    City                 |    GILROY
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    State                |    CA
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    Zip                  |    95020-7636
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    Country              |    US
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    Telephone            |    408-842-1017
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    Fax                  |    408-852-3346
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Provider Business Mailing Address
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    Address Line         |    6840 VIA DEL ORO STE# 210
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95119
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    Country              |    US
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    Telephone            |    408-284-2280
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    Fax                  |    408-754-0450
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     STEPHANIE  KLEINHEINZ 
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    Credential           |    NP
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    Telephone            |    408-284-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    070000696
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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