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General NPI Number Information
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NPI Number | 1780754176
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Entity Type | Organization
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Legal Business Name | SIWOOD INC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 BROADWAY
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City | BURLINGAME
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State | CA
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Zip | 94010-3426
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Country | US
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Telephone | 650-343-3651
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Fax | 650-343-2733
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Provider Business Mailing Address
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Address Line | 1300 BROADWAY
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City | BURLINGAME
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State | CA
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Zip | 94010-3426
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Country | US
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Telephone | 650-343-3651
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Fax | 650-343-2733
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. SIDNEY K WOO
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Credential | PHARM.D.
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Telephone | 650-343-3651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY34559
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License Number State | CA
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