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General NPI Number Information
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NPI Number | 1265554679
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Entity Type | Individual
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Provider Name | SHIRLEY P HO M.S.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1236 PARK ST
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City | ALAMEDA
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State | CA
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Zip | 94501-5212
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Country | US
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Telephone | 510-337-1871
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Fax | 510-337-1871
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Provider Business Mailing Address
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Address Line | 1910 E 20TH ST
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City | OAKLAND
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State | CA
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Zip | 94606-4127
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Country | US
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Telephone | 510-536-4685
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Fax | 510-337-1871
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 8617
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License Number State | CA
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