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General NPI Number Information
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NPI Number | 1316424054
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Entity Type | Organization
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Legal Business Name | ASPIRE HOSPITALIST MANAGEMENT MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 165 ROWLAND WAY
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City | NOVATO
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State | CA
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Zip | 94945-5038
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Country | US
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Telephone | 415-990-7901
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Fax |
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Provider Business Mailing Address
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Address Line | 190 FOREST KNOLLS DR
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-1120
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Country | US
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Telephone | 415-990-7901
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWIN COE
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Credential | MD
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Telephone | 415-990-7901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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