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General NPI Number Information
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NPI Number | 1144849027
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Entity Type | Individual
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Provider Name | EMILY RIDER-LONGMAID MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1545 DIVISADERO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-3400
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Country | US
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Telephone | 415-353-7900
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Fax | 415-353-2405
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Provider Business Mailing Address
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Address Line | 1545 DIVISADERO ST # 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-3400
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Country | US
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Telephone | 415-353-7900
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Fax | 415-353-2405
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A204983
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | MT221460
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT221460
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License Number State | PA
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