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General NPI Number Information
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NPI Number | 1811403215
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Entity Type | Organization
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Legal Business Name | INSITE DIGESTIVE HEALTH CARE
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 200 JOSE FIGUERES AVE STE 170
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City | SAN JOSE
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State | CA
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Zip | 95116-1586
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Country | US
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Telephone | 408-471-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N CENTRAL AVE STE 380
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City | GLENDALE
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State | CA
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Zip | 91202-2937
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | MARGARITA JOAQUIN
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Credential |
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Telephone | 808-937-0275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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