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General NPI Number Information
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NPI Number | 1194209320
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Entity Type | Individual
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Provider Name | PEI JU HO
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 2500 COUNTRY DR
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City | FREMONT
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State | CA
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Zip | 94536-5356
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Country | US
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Telephone | 510-792-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 350 E TAYLOR ST APT 5104
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City | SAN JOSE
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State | CA
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Zip | 95112-3165
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Country | US
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Telephone | 323-215-6702
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 19088
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License Number State | CA
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