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General NPI Number Information
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NPI Number | 1790960011
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Entity Type | Organization
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Legal Business Name | STEPHEN K KWAN M D INC
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST #200
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 213-680-0222
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Fax | 213-680-3603
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Provider Business Mailing Address
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Address Line | 711 W COLLEGE ST #200
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 213-680-0222
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Fax | 213-680-3603
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN KAM-CHEUNG KWAN
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Credential | M.D.
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Telephone | 213-680-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A35371
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License Number State | CA
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