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General NPI Number Information
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NPI Number | 1083743033
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Entity Type | Organization
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Legal Business Name | KATHRYN SEXTON, M.D., MARTIN JOFFE, M.D. & KATRINA URBACH, M.D, MEDIC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 1000 S ELISEO DRIVE SUITE 1A
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City | GREENBRAE
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State | CA
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Zip | 94904-2133
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Country | US
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Telephone | 415-461-5436
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Fax | 415-461-1006
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Provider Business Mailing Address
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Address Line | PO BOX 1340
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City | SUISUN CITY
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State | CA
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Zip | 94585-4340
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Country | US
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Telephone | 415-461-5436
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Fax | 415-461-1006
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MARTIN JOFFE
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Credential | MD
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Telephone | 415-461-5436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A35507
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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