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General NPI Number Information
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NPI Number | 1164458402
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Entity Type | Organization
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Legal Business Name | CHINESE HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 888 PARIS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3857
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Country | US
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Telephone | 415-677-2488
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Fax | 415-217-4199
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Provider Business Mailing Address
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Address Line | 888 PARIS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3857
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Country | US
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Telephone | 415-677-2488
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Fax | 415-217-4199
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Authorized Official
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Title or Position | CFO
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Name | MR. THOMAS BOLGER
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Credential |
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Telephone | 415-677-2496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 550000121
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License Number State | CA
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