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General NPI Number Information
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NPI Number | 1396997458
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF CA
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 2825 50TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95817-2310
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Country | US
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Telephone | 916-703-0300
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 61000 FILE #72784
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City | SAN FRANCISCO
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State | CA
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Zip | 94161-2784
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Country | US
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Telephone | 916-734-9200
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DR. KURT J. SLAPNIK
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Credential | M.D.
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Telephone | 916-734-8203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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