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General NPI Number Information
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NPI Number | 1730760513
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Entity Type | Individual
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Provider Name | TIFFANY L KAO MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1680 S GARFIELD AVE # 204
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City | ALHAMBRA
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State | CA
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Zip | 91801-5413
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Country | US
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Telephone | 626-282-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 S GARFIELD AVE # 204
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City | ALHAMBRA
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State | CA
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Zip | 91801-5413
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A195673
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License Number State | CA
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