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General NPI Number Information
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NPI Number | 1104709567
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Entity Type | Individual
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Provider Name | AMY SHI
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2625 ZANKER RD
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City | SAN JOSE
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State | CA
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Zip | 95134-2130
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Country | US
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Telephone | 408-468-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 21643 CASTLETON ST
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City | CUPERTINO
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State | CA
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Zip | 95014-4712
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Country | US
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Telephone | 669-263-1041
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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