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General NPI Number Information
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NPI Number | 1427681063
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Entity Type | Organization
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Legal Business Name | GUARDIAN
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 943 GENEVA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3402
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Country | US
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Telephone | 415-584-2210
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Fax | 415-584-2202
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Provider Business Mailing Address
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Address Line | 1512 CALIFORNIA ST APT 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4753
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Country | US
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Telephone | 415-297-8094
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Fax |
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Authorized Official
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Title or Position | PHARMD
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Name | DR. STEPHEN LEE
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Credential | DOCTOR OF PHARMACY
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Telephone | 415-297-8094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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