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General NPI Number Information
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NPI Number | 1356643654
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Entity Type | Organization
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Legal Business Name | ST ANTHONY FOUNDATION
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 150 GOLDEN GATE AVE FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3810
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Country | US
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Telephone | 415-241-8320
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Fax | 415-440-7776
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Provider Business Mailing Address
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Address Line | 150 GOLDEN GATE AVE FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-3810
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Country | US
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Telephone | 415-241-8320
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Fax | 415-440-7776
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ANN CATHERINE VALDES
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Credential | M.D.
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Telephone | 415-592-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 220000400
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License Number State | CA
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