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General NPI Number Information
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NPI Number | 1093111015
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Entity Type | Individual
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Provider Name | THORSTEN MICHAEL SMUL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 1635 DIVISADERO ST SUITE 625, UCSF MEDICAL CENTER, DEPT. OF ANESTHESIA
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3036
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Country | US
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Telephone | 415-476-1977
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Fax | 415-476-3683
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Provider Business Mailing Address
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Address Line | 521 PARNASSUS AVE C450 BOX 0648, DEPT OF ANESTHESIA, UCSF
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2206
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | F321
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License Number State | CA
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