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General NPI Number Information
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NPI Number | 1356582191
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Entity Type | Organization
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Legal Business Name | ON LOK SENIOR HEALTH SERVICES
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 299 STOCKTON AVE
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City | SAN JOSE
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State | CA
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Zip | 95126-2763
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Country | US
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Telephone | 408-535-4652
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 BUSH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5611
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Country | US
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Telephone |
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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 | GRACE LI HARPER
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Credential |
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Telephone | 415-292-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 550000839
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License Number State | CA
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