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General NPI Number Information
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NPI Number | 1699394460
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Entity Type | Organization
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Legal Business Name | BAY AREA KIDNEY CARE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 39370 MOZART TERRACE UNIT 106
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 734-358-8833
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Fax | 972-428-3630
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Provider Business Mailing Address
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Address Line | 39370 MOZART TERRACE UNIT 106
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 734-358-8833
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Fax | 972-428-3630
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Authorized Official
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Title or Position | CEO
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Name | CYNTHIA CHYN TSUI
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Credential | MD
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Telephone | 734-358-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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