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General NPI Number Information
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NPI Number | 1780132043
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Entity Type | Organization
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Legal Business Name | COUNTY OF SANTA CLARA
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 150 W TASMAN DR
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City | SAN JOSE
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State | CA
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Zip | 95134-1700
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Country | US
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Telephone | 408-793-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 828 S BASCOM AVE STE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-2600
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Country | US
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Telephone | 408-885-5770
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, BEHAVIORAL HEALTH SVC
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Name | SHERRI TERAO
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Credential |
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Telephone | 408-885-5776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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