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General NPI Number Information
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NPI Number | 1609210590
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Entity Type | Organization
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Legal Business Name | ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY, INC.
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 20400 LAKE CHABOT RD STE 304
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5316
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Country | US
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Telephone | 510-537-0700
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Fax | 510-537-7795
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Provider Business Mailing Address
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Address Line | 20400 LAKE CHABOT RD STE 304
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5316
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Country | US
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Telephone | 510-537-0700
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Fax | 510-537-7795
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH W LIEN
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Credential | MD
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Telephone | 510-537-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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