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General NPI Number Information
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NPI Number | 1740166974
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTH COUNCIL
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2095 WARMWOOD LN
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City | SAN JOSE
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State | CA
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Zip | 95132-1251
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Country | US
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Telephone | 650-326-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 650 CLARK WAY
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City | PALO ALTO
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State | CA
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Zip | 94304-2300
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Country | US
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Telephone | 650-326-5530
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF INFORMATION SYSTEMS
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Name | JUSTIN JOSEPH LEMOS
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Credential |
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Telephone | 650-702-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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