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NPI 1356857122

NPI 1356857122 : PLUSHCARE PHYSICIAN'S GROUP OF WYOMING, INC., A PROFESSIONAL CORP : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1356857122
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLUSHCARE PHYSICIAN'S GROUP OF WYOMING, INC., A PROFESSIONAL CORP 
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Dates
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    Enumeration Date     |    12/15/2017
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    101 MISSION ST STE 800 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94105-1744
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    Country              |    US
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    Telephone            |    415-231-5333
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    Fax                  |    415-231-5332
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Provider Business Mailing Address
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    Address Line         |    2261 MARKET ST STE 22930 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114-1612
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    Country              |    US
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    Telephone            |    415-231-5333
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    Fax                  |    415-231-5332
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Authorized Official
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    Title or Position    |    PRESIDENT & CHIEF MEDICAL OFFICER
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    Name                 |     BRITTANY  KUNZA 
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    Credential           |    MD
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    Telephone            |    415-231-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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