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General NPI Number Information
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NPI Number | 1396964722
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO LADIES PROTECTION AND RELIEF SOCIETY
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 3400 LAGUNA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-2271
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Country | US
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Telephone | 415-202-0300
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Fax | 415-292-7080
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Provider Business Mailing Address
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Address Line | 3400 LAGUNA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-2271
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Country | US
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Telephone | 415-202-0300
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Fax | 415-292-7080
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Authorized Official
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Title or Position | CEO
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Name | MR. KEN D DONNELLY
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Credential |
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Telephone | 415-202-0343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 220000034
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License Number State | CA
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