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General NPI Number Information
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NPI Number | 1063720894
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Entity Type | Individual
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Provider Name | RALF BURGERT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE SAN FRANCISCO GENERAL HOSPITAL, CARDIOLOGY CLINIC, 1M
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 203 LAS GALLINAS AVE
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3925
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Country | US
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Telephone | 415-472-1404
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 19650
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License Number State | CA
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