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General NPI Number Information
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NPI Number | 1477704682
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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 | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE. SAN FRANCISCO GENERAL HOSPITAL, UNIT 7C
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 415-206-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE. SAN FRANCISCO GENERAL HOSPITAL, UNIT 7C
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City | SAN FANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 415-206-3501
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | YANHUI LUO
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Credential | M.S.W.
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Telephone | 415-206-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 104100000X
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | ASW22038
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License Number State | CA
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