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General NPI Number Information
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NPI Number | 1144708199
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO LESBIAN GAY BISEXUAL TRANSGENDER COMMUNITY CENTER
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 1800 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6227
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Country | US
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Telephone | 415-865-5661
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Fax | 415-865-5501
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Provider Business Mailing Address
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Address Line | 1800 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6227
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Country | US
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Telephone | 415-865-5661
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Fax | 415-865-5501
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Authorized Official
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Title or Position | DEPUTY EXECUTIVE DIRECTOR
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Name | MR. ROBERTO ISAAC ORDENANA
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Credential |
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Telephone | 415-865-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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