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General NPI Number Information
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NPI Number | 1407900095
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA SAN FRANCISCO
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1600 DIVISADERO ST., FLOOR 7
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-3010
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Country | US
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Telephone | 415-476-7000
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Fax | 415-476-7187
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Provider Business Mailing Address
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Address Line | 675 18TH SREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 415-476-7000
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Fax | 415-476-7187
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW STATE
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Credential | MD
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Telephone | 415-476-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 220000377
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License Number State | CA
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