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General NPI Number Information
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NPI Number | 1366688855
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Entity Type | Organization
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Legal Business Name | PETER C RICHARDS MD,INC
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 3838 CALIFORNIA ST 612
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1522
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Country | US
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Telephone | 415-221-0735
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Fax | 415-221-3583
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Provider Business Mailing Address
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Address Line | 3838 CALIFORNIA ST 612
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1522
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Country | US
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Telephone | 415-221-0735
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Fax | 415-221-3583
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | AGNES MERICLE
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Credential |
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Telephone | 415-972-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | G475880
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License Number State | CA
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