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General NPI Number Information
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NPI Number | 1477600930
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Entity Type | Organization
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Legal Business Name | HENRY OHLHOFF HOUSE
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 625 STEINER ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2509
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Country | US
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Telephone | 415-621-4388
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Fax | 415-621-6219
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Provider Business Mailing Address
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Address Line | 601 STEINER ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2509
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Country | US
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Telephone | 415-621-4388
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Fax | 415-621-6219
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MAELINDA N. TURNER
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Credential |
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Telephone | 415-621-4388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 380013DN
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License Number State | CA
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