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General NPI Number Information
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NPI Number | 1609805134
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Entity Type | Organization
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Legal Business Name | PATRICIA SHIH-TING TSAI MD INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 496 OLD NEWPORT BLVD # 1
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4263
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Country | US
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Telephone | 949-650-4630
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Fax | 949-650-4625
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Provider Business Mailing Address
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Address Line | PO BOX 788
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City | HEMET
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State | CA
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Zip | 92546
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Country | US
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Telephone | 951-929-6060
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | PATRICIA SHIH-TING TSAI
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Credential | MD
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Telephone | 949-650-4630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A64184
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License Number State | CA
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