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General NPI Number Information
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NPI Number | 1851432850
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Entity Type | Organization
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Legal Business Name | MED INFO SERVICE, INC.
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 02/17/2008
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Provider Practice Location Address
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Address Line | 4647 DA VINCI ST
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City | SAN DIEGO
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State | CA
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Zip | 92130-2729
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Country | US
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Telephone | 858-997-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 4647 DA VINCI ST
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City | SAN DIEGO
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State | CA
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Zip | 92130-2729
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Country | US
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Telephone | 858-997-8687
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GRACE KUO
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Credential | PHARM.D.
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Telephone | 858-997-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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