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General NPI Number Information
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NPI Number | 1194881573
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 4141 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-3109
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Country | US
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Telephone | 415-833-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 3145 GEARY BLVD # 35
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-3316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. ANNE SABLOVE
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Credential |
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Telephone | 415-833-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 14625
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License Number State | CA
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