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General NPI Number Information
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NPI Number | 1891889945
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Entity Type | Organization
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Legal Business Name | DIGESTIVE CARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 1000A LAUREL STREET
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City | SAN CARLOS
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State | CA
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Zip | 94070-3919
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Country | US
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Telephone | 650-596-8800
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Fax | 650-596-8802
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Provider Business Mailing Address
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Address Line | PO BOX 7625
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City | MENLO PARK
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State | CA
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Zip | 94026-7625
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Country | US
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Telephone | 650-596-8800
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Fax | 650-596-8802
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | MEGHAN EDDY
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Credential |
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Telephone | 650-596-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | G71807
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License Number State | CA
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