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General NPI Number Information
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NPI Number | 1013100023
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Entity Type | Organization
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Legal Business Name | PREGNANCY RESOURCE CENTER OF MARIN
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 1320A GRANT AVE
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City | NOVATO
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State | CA
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Zip | 94945-3152
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Country | US
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Telephone | 415-892-0558
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Fax |
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Provider Business Mailing Address
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Address Line | 1320A GRANT AVE
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City | NOVATO
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State | CA
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Zip | 94945-3152
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Country | US
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Telephone | 415-892-0558
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBIN STROM
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Credential |
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Telephone | 415-892-0558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | CA
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