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General NPI Number Information
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NPI Number | 1952019812
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Entity Type | Organization
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Legal Business Name | TRUELIGHT MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 909 HYDE ST STE 230
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4845
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Country | US
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Telephone | 415-779-8332
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Fax | 415-537-9078
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Provider Business Mailing Address
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Address Line | 909 HYDE ST STE 230
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4845
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Country | US
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Telephone | 415-779-8332
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Fax | 415-537-9078
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Authorized Official
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Title or Position | CEO
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Name | DR. ALEXANDER CHANG
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Credential | MD
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Telephone | 650-576-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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