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NPI 1881481000

NPI 1881481000 : ALICE FENG : UNION CITY, CA

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General NPI Number Information
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    NPI Number           |    1881481000
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    Entity Type          |    Individual 
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    Provider Name        |    ALICE FENG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/22/2025
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    Last Update Date     |    02/24/2026
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Provider Practice Location Address
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    Address Line         |    34249 ASPEN LOOP 
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    City                 |    UNION CITY
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    State                |    CA
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    Zip                  |    94587-8019
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    Country              |    US
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    Telephone            |    510-709-6972
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    34249 ASPEN LOOP 
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    City                 |    UNION CITY
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    State                |    CA
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    Zip                  |    94587-8019
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    67237
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    67237
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    License Number State |    CA
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