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General NPI Number Information
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NPI Number | 1699574459
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Entity Type | Organization
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Legal Business Name | BURLINGAME GASTROENTEROLOGY AND HEPATOLOGY
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1720 EL CAMINO REAL STE 155
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City | BURLINGAME
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State | CA
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Zip | 94010-3231
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Country | US
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Telephone | 650-342-6506
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Fax | 650-340-9032
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Provider Business Mailing Address
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Address Line | 1720 EL CAMINO REAL STE 155
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City | BURLINGAME
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State | CA
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Zip | 94010-3231
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Country | US
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Telephone | 650-342-6506
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Fax | 650-340-9032
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | NERISSA BRANDI
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Credential |
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Telephone | 650-342-6506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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