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General NPI Number Information
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NPI Number | 1043284813
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Entity Type | Individual
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Provider Name | CHRISTINE CHANG PECCI M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 995 POTRERO AVE WARD 83
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 415-206-2972
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 TREAT BLVD # 300
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2168
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Country | US
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Telephone | 925-952-2828
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C056032
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 203882
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C56032
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License Number State | CA
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