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General NPI Number Information
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NPI Number | 1255730685
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Entity Type | Organization
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Legal Business Name | CONRAD TSENG MD, INC.
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 99 N LA CIENEGA BLVD #107
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2222
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Country | US
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Telephone | 310-652-3000
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Fax | 310-659-8797
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Provider Business Mailing Address
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Address Line | 99 N LA CIENEGA BLVD #107
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2222
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Country | US
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Telephone | 310-652-3000
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Fax | 310-659-8797
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONRAD TSENG
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Credential | M.D.
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Telephone | 310-652-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A74027
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License Number State | CA
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