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General NPI Number Information
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NPI Number | 1881872117
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Entity Type | Organization
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Legal Business Name | ALBERT L. PISANI MD A MEDICAL CORP
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 3519 ALTAMONT WAY
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3105
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Country | US
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Telephone | 650-722-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 3519 ALTAMONT WAY
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3105
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Country | US
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Telephone | 650-722-8636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT L PISANI
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Credential | MD
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Telephone | 650-722-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G067056
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License Number State | CA
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