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General NPI Number Information
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NPI Number | 1073827242
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Entity Type | Organization
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Legal Business Name | ASIAN HEALTH SERVICES
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 817 HARRISON STREET
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City | OAKLAND
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State | CA
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Zip | 94607-4422
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Country | US
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Telephone | 510-986-0430
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Fax | 510-986-0572
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Provider Business Mailing Address
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Address Line | 101 8TH ST STE 100
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City | OAKLAND
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State | CA
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Zip | 94607-4707
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Country | US
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Telephone | 510-735-3100
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Fax | 510-735-3299
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GEORGE LEE
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Credential | MD
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Telephone | 510-986-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 140000125
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License Number State | CA
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