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General NPI Number Information
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NPI Number | 1720509631
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Entity Type | Organization
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Legal Business Name | SS INTEGRATIVE MEDICAL SERVICES INC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 150 LOMBARD ST STE 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-1169
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Country | US
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Telephone | 415-421-1115
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Fax | 415-421-1116
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Provider Business Mailing Address
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Address Line | 150 LOMBARD ST STE 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-1169
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Country | US
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Telephone | 415-421-1115
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Fax | 415-421-1116
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUPREET SHAH
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Credential |
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Telephone | 847-730-9035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16580
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32975
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License Number State | CA
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