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General NPI Number Information
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NPI Number | 1497129050
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Entity Type | Organization
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Legal Business Name | ALL FAMILY HEALTH CLINIC INC
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 24159 MAGIC MOUNTAIN PKWY
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City | VALENICA
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State | CA
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Zip | 91355-3904
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Country | US
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Telephone | 661-222-9117
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Fax | 888-278-0126
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Provider Business Mailing Address
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Address Line | 24159 MAGIC MOUNTAIN PKWY
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City | VALENICA
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State | CA
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Zip | 91355-3904
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Country | US
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Telephone | 661-222-9117
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Fax | 888-278-0126
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. YAO WENG HSU
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Credential | M.D.
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Telephone | 661-222-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A612962
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License Number State | CA
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