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General NPI Number Information
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NPI Number | 1407465271
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Entity Type | Individual
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Provider Name | JOSEROSARIO VIGIL
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Gender | Male
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 42 WASHBURN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2663
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Country | US
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Telephone | 415-864-8701
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Fax | 415-864-0682
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Provider Business Mailing Address
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Address Line | 1385 MISSION ST STE 200
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2631
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Country | US
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Telephone | 415-864-7833
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Fax | 415-864-2231
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT135977
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License Number State | CA
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