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General NPI Number Information
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NPI Number | 1366766453
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Entity Type | Individual
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Provider Name | COURTNEY LENNON GIRAUDO CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 1625 VAN NESS AVENUE 3RD FLR, CALIFORNIA PACIFIC MEDICAL CTR
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City | SAN FRANCISCO
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State | CA
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Zip | 94120
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Country | US
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Telephone | 415-600-0830
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Fax | 415-731-2314
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Provider Business Mailing Address
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Address Line | 1625 VAN NESS AVENUE 3RD FLR, CALIFORNIA PACIFIC MEDICAL CTR
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City | SAN FRANCISCO
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State | CA
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Zip | 94120
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Country | US
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Telephone | 415-600-0830
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Fax | 415-731-2314
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN570791
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP15098
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License Number State | CA
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