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General NPI Number Information
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NPI Number | 1932635596
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY CONSULTANTS OF SAN JOSE
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 200 JOSE FIGUERES AVE SUITE 170
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City | SAN JOSE
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State | CA
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Zip | 95116-1500
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Country | US
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Telephone | 408-471-2222
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Fax | 408-471-2200
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Provider Business Mailing Address
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Address Line | 200 JOSE FIGUERES AVE SUITE 170
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City | SAN JOSE
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State | CA
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Zip | 95116-1500
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Country | US
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Telephone | 408-471-2222
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Fax | 408-471-2200
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. RHEMIL VIDAL
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Credential |
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Telephone | 408-829-6347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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