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General NPI Number Information
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NPI Number | 1558895953
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Entity Type | Organization
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Legal Business Name | SOUTHEAST ASIAN ASSISTANCE CENTER
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 5625 24TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95822-2233
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Country | US
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Telephone | 916-421-1036
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Fax | 916-421-6731
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Provider Business Mailing Address
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Address Line | 5625 24TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95822-2233
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Country | US
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Telephone | 916-421-1036
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Fax | 916-421-6731
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. YANG XIONG
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Credential | MSPPM
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Telephone | 916-421-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 1670927
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License Number State | CA
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