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General NPI Number Information
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NPI Number | 1811095078
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Entity Type | Organization
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Legal Business Name | EL GATO MEDICAL CLINIC FOR WOMEN, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 360 DARDANELLI LANE SUITE 2A
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City | LOS GATOS
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State | CA
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Zip | 95032-1421
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Country | US
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Telephone | 408-866-4200
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Fax | 408-866-4943
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Provider Business Mailing Address
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Address Line | 360 DARDANELLI LANE SUITE 2A
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City | LOS GATOS
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State | CA
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Zip | 95032-1421
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Country | US
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Telephone | 408-866-4200
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Fax | 408-866-4943
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY J DAMORE
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Credential | M.D.
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Telephone | 408-866-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | CA
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