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General NPI Number Information
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NPI Number | 1831244243
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Entity Type | Individual
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Provider Name | JOYCE KWOK PT
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 1533 SHATTUCK AVE 2ND FLR.
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City | BERKELEY
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State | CA
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Zip | 94709-1516
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Country | US
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Telephone | 510-282-3695
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Fax |
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Provider Business Mailing Address
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Address Line | 1442A WALNUT ST #310
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City | BERKELEY
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State | CA
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Zip | 94709-1405
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Country | US
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Telephone | 510-282-3695
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 9053
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 22905
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License Number State | CA
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