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General NPI Number Information
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NPI Number | 1285603514
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Entity Type | Individual
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Provider Name | ALAN SHOU-REN WEI M.D
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 2240 GLADSTONE DR SUITE #1
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City | PITTSBURG
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State | CA
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Zip | 94565-5126
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Country | US
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Telephone | 925-439-1077
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Fax | 925-439-1179
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Provider Business Mailing Address
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Address Line | 32 TIERRA VERDE CT
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City | WALNUT CREEK
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State | CA
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Zip | 94598-4857
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Country | US
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Telephone | 925-939-2286
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A34777
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License Number State | CA
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