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General NPI Number Information
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NPI Number | 1467315481
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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 | 12/05/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE BLDG 5, ROOM 6B
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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 | 628-206-4444
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Fax | 628-206-4722
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE BLDG 5, ROOM 6B
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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 | 628-206-4444
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JUANITA VILLANUEVA
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Credential |
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Telephone | 707-410-8471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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