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General NPI Number Information
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NPI Number | 1972732220
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Entity Type | Organization
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Legal Business Name | JOSE A. ADURA-MIRANDA, MD, INC
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 244 N JACKSON AVE SUITE 110
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City | SAN JOSE
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State | CA
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Zip | 95116-1604
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Country | US
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Telephone | 408-923-0257
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Fax | 408-741-1683
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Provider Business Mailing Address
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Address Line | 244 N JACKSON AVE SUITE 110
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City | SAN JOSE
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State | CA
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Zip | 95116-1604
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Country | US
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Telephone | 408-923-0257
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Fax | 408-741-1683
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE A. ADURA-MIRANDA
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Credential | M.D.
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Telephone | 408-923-0257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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