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General NPI Number Information
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NPI Number | 1063654184
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Entity Type | Individual
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Provider Name | CANDICE AUSTIN DENBY PA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 45 CASTRO ST SUITE 410
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1010
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Country | US
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Telephone | 415-565-6884
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Fax | 415-600-6886
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Provider Business Mailing Address
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Address Line | 45 CASTRO ST SUITE 410
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1010
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Country | US
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Telephone | 510-428-3885
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Fax | 510-428-3405
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA19889
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License Number State | CA
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