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General NPI Number Information
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NPI Number | 1124395629
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 500 PARNASSUS AVE MUW 405 BOX 0118
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0118
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Country | US
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Telephone | 415-353-8195
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Fax | 415-353-4716
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Provider Business Mailing Address
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Address Line | 500 PARNASSUS AVE MUW 405 BOX 0118
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0118
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Country | US
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Telephone | 415-353-8195
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Fax | 415-353-4716
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Authorized Official
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Title or Position | CAREER CREDENTIALING
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Name | SONYA FULLER
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Credential |
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Telephone | 415-353-9221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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