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General NPI Number Information
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NPI Number | 1407123326
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Entity Type | Organization
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Legal Business Name | SAMEDIX, INC
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1477 GROVE ST STE 104
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1421
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Country | US
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Telephone | 650-216-7826
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Fax | 800-714-1077
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Provider Business Mailing Address
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Address Line | 1455 BUCKINGHAM WAY
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City | HILLSBOROUGH
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State | CA
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Zip | 94010-7363
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Country | US
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Telephone | 650-218-7826
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STAN STUKOV
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Credential |
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Telephone | 650-218-7826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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