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General NPI Number Information
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NPI Number | 1629509229
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Entity Type | Individual
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Provider Name | TIFFANY YVONNE LOH M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1071 BLOSSOM HILL RD
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City | SAN JOSE
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State | CA
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Zip | 95123-1105
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Country | US
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Telephone | 408-730-6130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A172346
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | A172346
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License Number State | CA
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