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General NPI Number Information
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NPI Number | 1275397143
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Entity Type | Organization
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Legal Business Name | GIOVANNI DANDEKAR FLOCKHEALTH PC
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 1007 GENERAL KENNEDY AVE STE 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94129-1405
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Country | US
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Telephone | 510-224-3892
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST # 7650
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 510-224-3892
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ANGELO FU
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Credential |
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Telephone | 510-585-8104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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