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General NPI Number Information
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NPI Number | 1326351446
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Entity Type | Individual
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Provider Name | MICHAEL CHINWEN KE MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1100 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6978
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Country | US
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Telephone | 415-600-5760
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Fax | 415-369-1208
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # MCM14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-5496
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20541
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A118293
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 20541
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | A118293
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License Number State | CA
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