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General NPI Number Information
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NPI Number | 1891415550
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Entity Type | Organization
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Legal Business Name | SANGRARIA INC
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 10/29/2022
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Provider Practice Location Address
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Address Line | 970 ALTSCHUL AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-6705
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Country | US
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Telephone | 650-387-8908
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Fax |
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Provider Business Mailing Address
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Address Line | 26718 BIRCH HILL WAY
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-3302
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Country | US
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Telephone | 650-465-9149
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | DR. BOB S HU
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Credential | M.D.
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Telephone | 650-465-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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