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General NPI Number Information
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NPI Number | 1174308589
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Entity Type | Organization
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Legal Business Name | GOOD NIGHT SAN FRANCISCO, INC.
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 1475 SANSOME ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-1154
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Country | US
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Telephone | 415-398-2582
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Fax | 415-398-2024
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Provider Business Mailing Address
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Address Line | 1475 SANSOME ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-1154
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Country | US
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Telephone | 415-398-2582
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Fax | 415-398-2024
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Authorized Official
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Title or Position | CEO
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Name | DR. AARON E. ROSE
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Credential | DMD
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Telephone | 415-398-2582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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