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General NPI Number Information
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NPI Number | 1184681603
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Entity Type | Individual
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Provider Name | MAUDE E DULL MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 550 16TH ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2545
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Country | US
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Telephone | 415-476-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 CALIFORNIA ST # S1-10
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1981
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Country | US
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Telephone | 415-476-5153
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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 | 228170
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 228170
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | C152808
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License Number State | CA
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