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General NPI Number Information
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NPI Number | 1275943664
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Entity Type | Organization
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Legal Business Name | TZU CHI MEDICAL GROUP CORP
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 1000 S GARFIELD AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-4709
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Country | US
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Telephone | 626-281-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 S GARFIELD AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-4709
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Country | US
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Telephone | 626-281-3383
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | STEPHEN DENQ
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Credential | MD
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Telephone | 626-281-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A65839
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License Number State | CA
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