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General NPI Number Information
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NPI Number | 1437878634
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Entity Type | Organization
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Legal Business Name | OSP HEALTH MANAGEMENT INC
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 2626 DUPONT DR STE A10
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City | IRVINE
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State | CA
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Zip | 92612-1607
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Country | US
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Telephone | 626-864-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 DUPONT DR STE A10
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City | IRVINE
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State | CA
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Zip | 92612-1607
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Country | US
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Telephone | 626-864-9955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAY KWOK
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Credential |
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Telephone | 626-864-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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