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General NPI Number Information
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NPI Number | 1053782557
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Entity Type | Organization
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Legal Business Name | CITY PSYCHIATRY AND WELLNESS, INC.
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Dates
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Enumeration Date | 10/10/2015
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 870 MARKET ST STE 424
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3010
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Country | US
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Telephone | 415-813-4134
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Fax | 631-642-0843
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Provider Business Mailing Address
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Address Line | 870 MARKET ST STE 424
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3010
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Country | US
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Telephone | 415-813-4134
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Fax |
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Authorized Official
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Title or Position | PRESDIENT
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Name | DR. HARUN EVCIMEN
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Credential | MD
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Telephone | 415-993-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A119563
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License Number State | CA
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