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General NPI Number Information
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NPI Number | 1548619869
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Entity Type | Individual
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Provider Name | ALBERT FUNG PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 801 EMPIRE ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-5702
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Country | US
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Telephone | 707-425-5744
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Fax |
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Provider Business Mailing Address
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Address Line | 287 17TH ST STE A
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City | OAKLAND
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State | CA
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Zip | 94612-4191
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY32347
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License Number State | CA
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