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General NPI Number Information
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NPI Number | 1194978536
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Entity Type | Organization
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Legal Business Name | CADUCEUS OUTREACH SERVICES
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 489 CLEMENTINA ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4106
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Country | US
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Telephone | 415-243-8420
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Fax | 415-243-8520
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Provider Business Mailing Address
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Address Line | 489 CLEMENTINA ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4106
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Country | US
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Telephone | 415-243-8420
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Fax | 415-243-8520
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARYKATE CONNOR
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Credential |
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Telephone | 415-243-8420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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