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General NPI Number Information
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NPI Number | 1093801524
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PACIFIC ORTHOPAEDICS AND SPORTS MEDICINE A MEDICAL CORPORAT
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 3838 CALIFORNIA ST. SUITE 715
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-592-2017
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Fax | 415-592-0001
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Provider Business Mailing Address
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Address Line | 3838 CALIFORNIA ST. SUITE 715
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-592-2017
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Fax | 415-592-0001
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHERINE URBANSKI
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Credential |
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Telephone | 415-592-2017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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