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General NPI Number Information
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NPI Number | 1285896142
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Entity Type | Individual
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Provider Name | SUSAN KLINGAMAN ESTILAEI P.T., D.P.T., O.C.S.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 2200 POST ST C232
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3428
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Country | US
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Telephone | 415-476-1715
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Fax | 415-514-9251
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Provider Business Mailing Address
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Address Line | BOX 0625 UCSF FACULTY PRACTICE IN PHYSICAL THERAPY
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0625
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Country | US
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Telephone | 415-476-1715
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Fax | 415-514-9251
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 18202
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License Number State | CA
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