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General NPI Number Information
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NPI Number | 1841258100
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Entity Type | Organization
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Legal Business Name | CKS MEDICAL GROUP INC.
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 2243 MOWRY AVE SUITE D
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City | FREMONT
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State | CA
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Zip | 94538-1630
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Country | US
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Telephone | 510-795-8000
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Fax | 510-795-8001
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Provider Business Mailing Address
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Address Line | 2243 MOWRY AVE SUITE D
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City | FREMONT
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State | CA
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Zip | 94538-1630
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Country | US
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Telephone | 510-795-8000
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Fax | 510-795-8001
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Authorized Official
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Title or Position | CFO
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Name | JJ SINGH
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Credential |
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Telephone | 510-795-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | BS3515864
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License Number State | CA
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