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General NPI Number Information
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NPI Number | 1285506436
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE AT HOME, INC.
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2424 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2415
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Country | US
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Telephone | 415-826-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2415
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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 | BOARD SECRETARY
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Name | MAI-ANH NGUYEN
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Credential |
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Telephone | 510-320-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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