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General NPI Number Information
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NPI Number | 1700680147
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Entity Type | Organization
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Legal Business Name | CPH-COMPREHENSIVE PEDIATRIC HEATH
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3351 EL CAMINO REAL STE 205
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City | ATHERTON
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State | CA
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Zip | 94027-3864
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Country | US
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Telephone | 650-503-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 3351 EL CAMINO REAL STE 205
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City | ATHERTON
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State | CA
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Zip | 94027-3864
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Country | US
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Telephone | 650-503-8899
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JULLY PADAM
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Credential | MD
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Telephone | 650-503-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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