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General NPI Number Information
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NPI Number | 1346652559
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Entity Type | Individual
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Provider Name | URSULA BARGHOUTH DO MHA MPH CWSP RPVI
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Gender | Female
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1200 EL CAMINO REAL
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-3208
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Country | US
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Telephone | 650-742-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 HARRISON ST FL 7
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City | OAKLAND
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State | CA
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Zip | 94612-3466
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Country | US
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Telephone | 510-625-6262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 20A22795
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A22795
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License Number State | CA
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