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General NPI Number Information
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NPI Number | 1568300499
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Entity Type | Individual
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Provider Name | PAK YAN KWAN RN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 1710 GILBRETH RD
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City | BURLINGAME
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State | CA
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Zip | 94010-1317
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Country | US
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Telephone | 888-500-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 6267 JOAQUIN MURIETA AVE APT D
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City | NEWARK
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State | CA
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Zip | 94560-5425
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN95253873
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License Number State | CA
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