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General NPI Number Information
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NPI Number | 1205656527
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Entity Type | Organization
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Legal Business Name | UCSF DENTAL ONCOLOGY -UNIVERSITY PROJECT
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 513 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2205
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Country | US
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Telephone | 415-476-1731
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741649
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City | LOS ANGELES
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State | CA
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Zip | 90074-1649
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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 | DIRECTOR
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Name | RIJUTA A DHERE
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Credential |
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Telephone | 925-895-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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