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General NPI Number Information
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NPI Number | 1891801122
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Entity Type | Organization
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Legal Business Name | BAY AREA GYNECOLOGY ONCOLOGY INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 910 CAMPISI WAY STE 2A
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City | CAMPBELL
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State | CA
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Zip | 95008-2351
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Country | US
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Telephone | 408-827-4274
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Fax | 408-827-4275
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Provider Business Mailing Address
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Address Line | PO BOX 33235
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City | LOS GATOS
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State | CA
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Zip | 95031-3235
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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
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Name | DR. JAMES FREDERICK LILJA
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Credential | M.D.
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Telephone | 408-827-4274
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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 | A068842
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G85643
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License Number State | CA
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