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General NPI Number Information
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NPI Number | 1992280226
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Entity Type | Individual
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Provider Name | JACQUELINE LAI WAH SHEK L. AC.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 1755 17TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4501
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Country | US
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Telephone | 415-661-1302
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Fax | 415-661-1302
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Provider Business Mailing Address
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Address Line | 1755 17TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4501
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Country | US
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Telephone | 415-661-1302
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Fax | 415-661-1302
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC3473
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License Number State | CA
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