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General NPI Number Information
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NPI Number | 1376005678
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Entity Type | Organization
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Legal Business Name | DR BOB S SALK DPM PC APC
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST STE 209
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2375
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Country | US
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Telephone | 415-431-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 45 CASTRO ST STE 315
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1019
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Country | US
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Telephone | 415-272-3122
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GRACE SALK
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Credential |
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Telephone | 415-272-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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