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General NPI Number Information
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NPI Number | 1235339052
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PACIFIC MEDICAL CENTER
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 1625 VAN NESS AVE 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3608
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Country | US
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Telephone | 415-600-6200
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Fax | 415-749-1433
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Provider Business Mailing Address
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Address Line | 1625 VAN NESS AVE 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3608
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Country | US
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Telephone | 415-600-6200
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Fax | 415-749-1433
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. SUZANNE GIRAURDO
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Credential | PHD
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Telephone | 415-600-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT41112
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License Number State | CA
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