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General NPI Number Information
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NPI Number | 1275767683
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Entity Type | Organization
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Legal Business Name | UCSF MEDICAL CENTER
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 505 PARNASSUS AVE RM 1319B
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2204
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Country | US
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Telephone | 415-353-5216
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 MADELINE ST
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City | OAKLAND
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State | CA
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Zip | 94602-3930
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Country | US
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Telephone | 415-290-1024
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. KRISTEN HELEN LATEINER
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Credential | NP
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Telephone | 415-353-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 17825
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License Number State | CA
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