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General NPI Number Information
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NPI Number | 1386724110
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Entity Type | Individual
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Provider Name | GALINA M GORODETSKY MD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 2000 VAN NESS 710
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City | SAN FRANCISCO
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State | CA
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Zip | 94109
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Country | US
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Telephone | 415-563-8170
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Fax | 415-563-8181
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Provider Business Mailing Address
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Address Line | 2000 VAN NESS 710
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City | SF
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State | CA
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Zip | 94109
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Country | US
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Telephone | 415-563-8170
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Fax | 415-563-8181
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A38916
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License Number State | CA
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