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General NPI Number Information
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NPI Number | 1295995165
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Entity Type | Organization
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Legal Business Name | ON LOK DAY SERVICES
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 225 30TH STREET THIRD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-2420
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Country | US
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Telephone | 415-550-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 BUSH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5611
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Country | US
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Telephone | 415-292-8888
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Fax | 415-292-8745
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR / CEO
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Name | MR. ROBERT E EDMONDSON
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Credential | J.D.
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Telephone | 415-292-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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