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General NPI Number Information
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NPI Number | 1922068402
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Entity Type | Organization
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Legal Business Name | LOS OLIVOS WOMEN'S MEDICAL CLINIC, INC
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 15151 NATIONAL AVE
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City | LOS GATOS
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State | CA
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Zip | 95032-2627
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Country | US
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Telephone | 408-358-4845
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Fax | 408-358-1602
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Provider Business Mailing Address
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Address Line | PO BOX 11855
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City | BELFAST
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State | ME
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Zip | 04915-4009
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Country | US
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Telephone | 408-358-4845
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Fax | 408-358-1602
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DEBBIE L SANDERS
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Credential |
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Telephone | 408-358-4845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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