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General NPI Number Information
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NPI Number | 1023617156
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Entity Type | Individual
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Provider Name | MR. HAO LA
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Gender | Male
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 1 AVALON AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-2084
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Country | US
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Telephone | 833-710-2046
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Fax | 415-723-7038
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Provider Business Mailing Address
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Address Line | 135 SWEENY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-1233
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Country | US
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Telephone | 415-830-0143
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT293960
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License Number State | CA
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