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General NPI Number Information
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NPI Number | 1013142280
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Entity Type | Organization
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Legal Business Name | HAMPTON HEALTH LTD
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1700 CALIFORNIA ST STE. 470
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4590
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Country | US
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Telephone | 415-202-9990
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Fax | 415-843-0548
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Provider Business Mailing Address
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Address Line | 1700 CALIFORNIA ST STE. 470
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4590
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Country | US
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Telephone | 415-202-9990
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Fax | 415-843-0548
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN H FULLERTON
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Credential | M.D.
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Telephone | 415-202-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | G59000
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License Number State | CA
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