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General NPI Number Information
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NPI Number | 1922528694
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Entity Type | Organization
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Legal Business Name | ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/23/2017
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Provider Practice Location Address
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Address Line | 1800 MARKET ST STE 401
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6227
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Country | US
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Telephone | 415-292-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 730 POLK ST FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-7813
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Country | US
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Telephone | 415-292-3420
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LANCE TOMA
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Credential | LCSW
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Telephone | 415-292-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 550001294
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 550001294
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 550001294
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 550001294
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 550001294
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License Number State | CA
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