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General NPI Number Information
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NPI Number | 1043560428
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Entity Type | Individual
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Provider Name | EMMA MARIE TODD PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 333 1ST ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2661
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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 | 2830 ARBORVIEW DR APT 24
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-7331
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601012525
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0004847
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License Number State | MD
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