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General NPI Number Information
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NPI Number | 1730691296
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Entity Type | Organization
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Legal Business Name | ACCESS PRIMARY CARE MEDICAL GROUP
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 1580 VALENCIA ST STE 111
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4415
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Country | US
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Telephone | 650-303-0220
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Fax | 650-991-1800
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Provider Business Mailing Address
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Address Line | 1580 VALENCIA ST STE 111
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4415
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Country | US
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Telephone | 650-303-0220
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Fax | 650-991-1800
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. LAWRENCE CHAO
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Credential | MD
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Telephone | 415-333-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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