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General NPI Number Information
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NPI Number | 1184648636
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Entity Type | Individual
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Provider Name | SHELLEY R. MARDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2200 OFARRELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3357
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Country | US
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Telephone | 415-833-2000
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Fax | 415-353-8570
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Provider Business Mailing Address
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Address Line | 65 DORANTES AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-1430
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Country | US
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Telephone | 415-833-6012
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Fax |
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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 | G46906
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G46906
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G46906
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License Number State | CA
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