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General NPI Number Information
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NPI Number | 1497302525
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Entity Type | Individual
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Provider Name | SANDY HUI NIE TSE NP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 8635 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-5281
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Country | US
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Telephone | 562-862-5121
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Fax | 562-862-3027
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Provider Business Mailing Address
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Address Line | PO BOX 10818
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0818
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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 |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F07181785
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License Number State | CA
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