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NPI 1457349540

NPI 1457349540 : JAMES PENG OOI MD : CORNING, CA

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General NPI Number Information
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    NPI Number           |    1457349540
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES PENG OOI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/12/2005
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    Last Update Date     |    03/25/2015
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Provider Practice Location Address
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    Address Line         |    320 SOLANO ST 
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    City                 |    CORNING
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    State                |    CA
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    Zip                  |    96021-3454
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    Country              |    US
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    Telephone            |    530-824-3283
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    Fax                  |    530-824-3285
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Provider Business Mailing Address
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    Address Line         |    320 SOLANO ST 
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    City                 |    CORNING
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    State                |    CA
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    Zip                  |    96021-3454
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    Country              |    US
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    Telephone            |    530-824-3283
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    Fax                  |    530-824-3285
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    C39127
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    License Number State |    CA
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