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General NPI Number Information
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NPI Number | 1386867851
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Entity Type | Organization
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Legal Business Name | UCSF MEDICAL CENTER
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVENUE PLAZA LEVEL
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0001
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Country | US
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Telephone | 415-353-2888
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Fax | 415-353-2956
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Provider Business Mailing Address
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Address Line | 400 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-353-2888
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Fax | 415-353-2956
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | CARLOTTA L CAVAZOS
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Credential | PA-C, M.S.
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Telephone | 415-353-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | PA17870
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License Number State | CA
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