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General NPI Number Information
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NPI Number | 1386009561
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 1600 DIVISADERO ST BOX 1714
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-3010
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Country | US
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Telephone | 415-885-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 DIVISADERO ST BOX 1714
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-3010
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Country | US
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Telephone | 415-885-7779
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Fax |
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Authorized Official
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Title or Position | DIRECTOR GENETIC COUNSELING
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Name | BETH CRAWFORD
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Credential | MS, LCGC
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Telephone | 415-885-3717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number | GC000685
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License Number State | CA
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