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General NPI Number Information
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NPI Number | 1487033023
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Entity Type | Organization
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Legal Business Name | ELITE FOCUS CLINIC, INC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 881 FREMONT AVE STE A3
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City | LOS ALTOS
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State | CA
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Zip | 94024-5697
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Country | US
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Telephone | 650-209-5615
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Fax |
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Provider Business Mailing Address
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Address Line | 881 FREMONT AVE STE A3
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City | LOS ALTOS
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State | CA
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Zip | 94024-5697
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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 | VICE PRESIDENT
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Name | DR. LAWRENCE CHOY
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Credential | M.D.
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Telephone | 650-209-5615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A105457
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 544730
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License Number State | CA
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