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NPI 1043674815

NPI 1043674815 : HELIX MOBILE WELLNESS AND RESEARCH LLC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1043674815
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    Entity Type          |    Organization 
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    Legal Business Name  |    HELIX MOBILE WELLNESS AND RESEARCH LLC 
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Dates
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    Enumeration Date     |    04/07/2016
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    Last Update Date     |    05/31/2016
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Provider Practice Location Address
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    Address Line         |    490 POST ST STE 239 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1403
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    Country              |    US
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    Telephone            |    415-656-8318
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    Fax                  |    310-314-2732
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Provider Business Mailing Address
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    Address Line         |    490 POST ST STE 239 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1403
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    Country              |    US
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    Telephone            |    415-656-8318
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    Fax                  |    310-314-2732
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MIGUEL ALI HASSAN 
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    Credential           |    
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    Telephone            |    949-355-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    05D2103632
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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       |    
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    207RA0000X
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    Taxonomy Name        |    Adolescent Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    CA
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