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General NPI Number Information
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NPI Number | 1346040276
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Entity Type | Organization
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Legal Business Name | BUDDHIST TZU CHI MEDICAL FOUNDATION
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 10414 VACCO ST
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-3350
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Country | US
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Telephone | 626-281-3383
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Fax | 855-710-5853
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Provider Business Mailing Address
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Address Line | 9620 FLAIR DR
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City | EL MONTE
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State | CA
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Zip | 91731-3005
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Country | US
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Telephone | 626-427-9598
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Fax | 626-788-2321
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Authorized Official
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Title or Position | CEO
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Name | STEPHEN P DENQ
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Credential | MD
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Telephone | 626-427-9598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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