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NPI 1891458360

NPI 1891458360 : YIWEN TSENG : SUNNYVALE, CA

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General NPI Number Information
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    NPI Number           |    1891458360
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    Entity Type          |    Individual 
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    Provider Name        |    YIWEN TSENG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/20/2021
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    Last Update Date     |    10/28/2021
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Provider Practice Location Address
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    Address Line         |    333 SOQUEL WAY 
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    City                 |    SUNNYVALE
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    State                |    CA
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    Zip                  |    94085-4102
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    Country              |    US
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    Telephone            |    408-736-6000
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    Fax                  |    408-736-7604
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Provider Business Mailing Address
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    Address Line         |    3649 DARRYL CT 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95130-1309
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    Country              |    US
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    Telephone            |    408-838-1983
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    300299
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    License Number State |    CA
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