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General NPI Number Information
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NPI Number | 1437258001
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Entity Type | Organization
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Legal Business Name | PACIFIC HEIGHTS SURGERY CENTER OF SAN FRANCISCO, LP
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 SAN FRANCISCO ST 2ND FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 888-282-7472
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 SAN VICENTE BLVD STE 440
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City | LOS ANGELES
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State | CA
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Zip | 90049
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Country | US
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Telephone | 310-440-3131
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. DAVE O'DELL
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Credential |
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Telephone | 888-282-7472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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