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General NPI Number Information
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NPI Number | 1346482114
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 982 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2911
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Country | US
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Telephone | 415-730-1364
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Fax | 415-597-8004
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Provider Business Mailing Address
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Address Line | 982 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2911
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Country | US
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Telephone | 415-730-1364
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Fax | 415-597-8004
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER II
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Name | KRISZTINA DIHEN
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Credential | MFTI
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Telephone | 415-730-1364
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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 | 50161
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License Number State | CA
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