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General NPI Number Information
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NPI Number | 1457402380
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Entity Type | Organization
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Legal Business Name | SF GENERAL HOSPITAL
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE SUITE 7M
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-6022
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Fax | 415-206-6212
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Provider Business Mailing Address
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Address Line | 50 LECH WALESA
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-4506
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Country | US
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Telephone | 510-372-4382
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Fax | 415-355-7408
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Authorized Official
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Title or Position | SUBSTANCE ABUSE COUNSELOR
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Name | MISS KIM CHARMAINE LYNCH
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Credential | ADDICTION SPECIALIST
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Telephone | 415-355-7501
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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 | L0201120808
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License Number State | CA
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