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General NPI Number Information
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NPI Number | 1245261791
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Entity Type | Individual
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Provider Name | CORINNA ALISANGCO GAMEZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 450 STANYAN STREET 5 NORTH MCAULEY INSTITUTE
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City | SAN FRANCISCO
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State | CA
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Zip | 94117
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Country | US
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Telephone | 415-596-7834
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Fax | 415-750-4845
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Provider Business Mailing Address
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Address Line | 753 4TH AVENUE
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-3912
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Country | US
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Telephone | 415-422-0516
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Fax | 415-276-1854
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A69057
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License Number State | CA
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