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General NPI Number Information
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NPI Number | 1073930939
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Entity Type | Individual
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Provider Name | MATTHEW HIRSCHTRITT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 3900 BROADWAY
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City | OAKLAND
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State | CA
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Zip | 94611-5616
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Country | US
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Telephone | 415-476-7577
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Fax |
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Provider Business Mailing Address
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Address Line | UCSF DEPARTMENT OF PSYCHIATRY 401 PARNASSUS AVE., BOX 0984-RTP
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0984
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Country | US
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Telephone | 415-476-7577
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 139189
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License Number State | CA
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