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General NPI Number Information
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NPI Number | 1972985083
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Entity Type | Organization
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Legal Business Name | O'CONNOR HOSPITAL
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 455 OCONNOR DR SUITE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-1633
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Country | US
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Telephone | 408-283-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 455 OCONNOR DR SUITE 200
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City | SAN JOSE
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State | CA
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Zip | 95128-1633
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Country | US
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Telephone | 408-283-7676
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Fax |
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Authorized Official
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Title or Position | MANAGER, FAMILY MEDICINE RESIDENCY
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Name | JENA EIDSCHUN
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Credential | B.S., M.A.
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Telephone | 408-283-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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