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General NPI Number Information
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NPI Number | 1962712505
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Entity Type | Organization
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Legal Business Name | STANFORD BLOOD CENTER, LLC
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 3373 HILLVIEW AVE
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City | PALO ALTO
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State | CA
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Zip | 94304
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Country | US
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Telephone | 650-723-7994
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Fax | 650-725-4470
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Provider Business Mailing Address
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Address Line | 3373 HILLVIEW AVE
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City | PALO ALTO
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State | CA
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Zip | 94304-1204
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Country | US
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Telephone | 650-723-7994
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Fax | 650-725-4470
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. HARPRIT SANDHU
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Credential |
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Telephone | 650-723-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 331L00000X
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Taxonomy Name | Blood Bank
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License Number | 9796
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License Number State | CA
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