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General NPI Number Information
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NPI Number | 1295345668
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Entity Type | Organization
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Legal Business Name | MARIN REGENERATIVE HEALTH
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 1744 NOVATO BLVD STE 100
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City | NOVATO
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State | CA
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Zip | 94947-3092
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Country | US
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Telephone | 415-847-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 NOVATO BLVD STE 100
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City | NOVATO
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State | CA
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Zip | 94947-3092
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Country | US
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Telephone | 415-847-4035
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH SCHARF
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Credential | DC
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Telephone | 415-847-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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