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General NPI Number Information
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NPI Number | 1821498353
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Entity Type | Organization
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Legal Business Name | SARATOGA LOS GATOS MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 555 KNOWLES DRIVE SUITE 200
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City | LOS GATOS
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State | CA
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Zip | 95032
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Country | US
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Telephone | 408-871-0800
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Fax | 408-379-8196
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Provider Business Mailing Address
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Address Line | 555 KNOWLES DRIVE SUITE 200
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City | LOS GATOS
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State | CA
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Zip | 95032
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Country | US
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Telephone | 408-871-0800
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Fax | 408-379-8196
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Authorized Official
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Title or Position | DOCTOR
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Name | GREGORY BELCHER
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Credential | M.D.
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Telephone | 408-871-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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