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General NPI Number Information
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NPI Number | 1013900653
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Entity Type | Individual
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Provider Name | ELISA E. HORTA M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 333 1ST ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2687
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Country | US
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Telephone | 888-803-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 417 MACE BLVD STE J-285
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City | DAVIS
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State | CA
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Zip | 95618-6053
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Country | US
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Telephone | 530-400-3533
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Fax |
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | G072518
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G072518
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License Number State | CA
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