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NPI 1104230622

NPI 1104230622 : IORA HEALTH, LLC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1104230622
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    Entity Type          |    Organization 
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    Legal Business Name  |    IORA HEALTH, LLC 
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Dates
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    Enumeration Date     |    06/12/2014
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    1 EMBARCADERO CTR FL 19 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94111-3628
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    Country              |    US
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    Telephone            |    888-663-6331
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    Fax                  |    415-252-7176
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Provider Business Mailing Address
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    Address Line         |    1 EMBARCADERO CTR FL 19 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94111-3628
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    Country              |    US
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    Telephone            |    888-663-6331
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    Fax                  |    415-252-7176
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Authorized Official
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    Title or Position    |    DIRECTOR, CLINICAL OPS & PERF
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    Name                 |     SUZANNE  HANSEN 
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    Credential           |    
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    Telephone            |    888-663-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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