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NPI 1043288731

NPI 1043288731 : RICHARD GARCIA-KENNEDY MD : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1043288731
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD GARCIA-KENNEDY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/09/2006
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    Last Update Date     |    02/12/2008
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Provider Practice Location Address
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    Address Line         |    3700 CALIFORNIA ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118
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    Country              |    US
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    Telephone            |    415-600-2200
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    Fax                  |    415-750-5001
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Provider Business Mailing Address
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    Address Line         |    PO BOX 26060 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93729
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    Country              |    US
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    Telephone            |    415-600-2200
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    Fax                  |    415-750-5001
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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        |    207ZP0105X
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    Taxonomy Name        |    Clinical Pathology/Laboratory Medicine Physician
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    License Number       |    G54556
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    License Number State |    CA
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