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General NPI Number Information
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NPI Number | 1760627509
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Entity Type | Organization
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Legal Business Name | NORTHERN CALIFORNIA ORTHOPAEDIC MEDICAL GRP, INC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 901 CAMPUS DRIVE SUITE 111
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City | DALY CITY
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State | CA
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Zip | 94015-4930
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Country | US
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Telephone | 650-991-9400
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Fax | 650-991-2650
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Provider Business Mailing Address
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Address Line | 901 CAMPUS DRIVE SUITE 111
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City | DALY CITY
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State | CA
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Zip | 94015-4930
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Country | US
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Telephone | 650-991-9400
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Fax | 650-991-2650
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ALAN G. ZACHARIA
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Credential | M.D.
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Telephone | 650-991-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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