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General NPI Number Information
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NPI Number | 1023697604
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Entity Type | Individual
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Provider Name | CLAUDINE RADFORD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | AMERICAN INDUSTRIAL CENTER 2325 3RD STREET FLOOR 3R / OFFICE #45
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-9410
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Country | US
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Telephone | 415-868-5012
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 1/2 SHOTWELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5201
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Country | US
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Telephone | 415-613-5006
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26078
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License Number State | CA
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