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General NPI Number Information
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NPI Number | 1700541307
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Entity Type | Organization
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Legal Business Name | ISIS COMMUNITY HEALTH LIMITED
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 2615 ASHBY AVE
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City | BERKELEY
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State | CA
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Zip | 94705
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Country | US
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Telephone | 415-816-8138
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 FULTON
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-816-8138
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Fax |
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Authorized Official
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Title or Position | FOUNDER CEO
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Name | JENNIFER JING YAU
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Credential |
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Telephone | 415-816-8138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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