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General NPI Number Information
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NPI Number | 1336431600
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Entity Type | Organization
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Legal Business Name | AHMC INTERNATIONAL CANCER CENTER A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 605 N GARFIELD AVE
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1102
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Country | US
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Telephone | 626-571-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80341
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91716-8341
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Country | US
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Telephone | 626-571-6108
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID HSU
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Credential | MD
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Telephone | 626-275-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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