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General NPI Number Information
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NPI Number | 1407174709
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Entity Type | Organization
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Legal Business Name | RICHARD H. PRINTZ, M.D.,PH.D. INC
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 599 SIR FRANCIS DRAKE BLVD STE 202
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City | GREENBRAE
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State | CA
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Zip | 94904-1731
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Country | US
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Telephone | 415-461-8636
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Fax | 415-925-1156
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Provider Business Mailing Address
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Address Line | 599 SIR FRANCIS DRAKE BLVD STE 202
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City | GREENBRAE
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State | CA
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Zip | 94904-1731
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Country | US
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Telephone | 415-461-8636
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Fax | 415-925-1156
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Authorized Official
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Title or Position | DOCTOR/DOCTOR
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Name | DR. RICHARD H PRINTZ
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Credential | M.D.,PH.D.
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Telephone | 415-461-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G31741
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License Number State | CA
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