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General NPI Number Information
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NPI Number | 1497046320
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Entity Type | Organization
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Legal Business Name | SPLENDOR MANAGEMENT CORP
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 9260 ALCOSTA BLVD BUILDING C-17
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City | SAN RAMON
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State | CA
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Zip | 94583-4134
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Country | US
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Telephone | 925-833-9482
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Fax |
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Provider Business Mailing Address
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Address Line | 9260 ALCOSTA BLVD BUILDING C-17
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City | SAN RAMON
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State | CA
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Zip | 94583-4134
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Country | US
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Telephone | 925-833-9482
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHEN CHEN WU
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Credential |
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Telephone | 92583394802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AC 4689
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License Number State | CA
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