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General NPI Number Information
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NPI Number | 1720731383
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Entity Type | Organization
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Legal Business Name | MITERA NJ LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 24650 VOORHEES DR
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-4620
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Country | US
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Telephone | 650-646-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 EL MONTE AVE STE C633
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2398
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Country | US
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Telephone | 650-646-7575
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMAN ASKARI
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Credential |
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Telephone | 415-712-5563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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