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General NPI Number Information
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NPI Number | 1548708415
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Entity Type | Organization
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Legal Business Name | EVILLAGE CARE INC
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 909 HYDE ST SUITE 430
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4822
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Country | US
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Telephone | 415-474-2162
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Fax |
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Provider Business Mailing Address
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Address Line | 909 HYDE ST SUITE 430
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4822
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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 | M.D.
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Name | DR. MING LI TSANG
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Credential |
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Telephone | 415-474-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | A96539
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License Number State | CA
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