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General NPI Number Information
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NPI Number | 1255820999
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Entity Type | Individual
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Provider Name | JEE HEY SONG MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 5755 COTTLE RD BLDG 21
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City | SAN JOSE
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State | CA
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Zip | 95123-3600
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Country | US
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Telephone | 408-972-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 5755 COTTLE RD BLDG 21
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City | SAN JOSE
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State | CA
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Zip | 95123-3600
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Country | US
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Telephone | 408-972-3300
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | A198548
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License Number State | CA
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