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General NPI Number Information
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NPI Number | 1336509835
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO VA MEDICAL CENTER
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1545
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Country | US
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Telephone | 415-281-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 1693 MCGUIRE CIR
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City | SUISUN CITY
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State | CA
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Zip | 94585-6319
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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 | ASSOCIATE DIRECTOR OF COE
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Name | TERRY KEENE
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Credential |
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Telephone | 415-281-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 95003307
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License Number State | CA
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