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General NPI Number Information
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NPI Number | 1174699904
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Entity Type | Organization
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Legal Business Name | LAGUNA HONDA HOSPITAL
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 375 LAGUNA HONDA BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1411
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Country | US
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Telephone | 415-759-3348
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Fax | 415-759-3012
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE BUILDING 10 WARD 14 ROOM 1405
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-8338
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Fax | 415-206-3837
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Authorized Official
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Title or Position | DIRECTOR OF PFS
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Name | THOMAS JOHN ISTVAN
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Credential |
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Telephone | 415-759-4064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State |
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