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General NPI Number Information
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NPI Number | 1851513246
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Entity Type | Organization
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Legal Business Name | S.E.N. HEALTH STATION
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 1048 E. LAS TUNAS DR.
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City | SAN GABRIEL
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State | CA
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Zip | 91776
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Country | US
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Telephone | 626-292-5869
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Fax | 626-292-5869
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Provider Business Mailing Address
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Address Line | P.O.BOX 7864
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City | ALHAMBRA
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State | CA
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Zip | 91802
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Country | US
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Telephone | 626-292-5869
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Fax | 626-292-5869
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Authorized Official
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Title or Position | OWNER
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Name | ZHIYONG ZHANG
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Credential | AC 7034 O.M.D. PH.D.
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Telephone | 626-292-5869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC 7034
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License Number State | CA
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