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General NPI Number Information
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NPI Number | 1497320618
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Entity Type | Organization
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Legal Business Name | THE SAN FRANCISCO VEIN AND VASCULAR INSTITUTE, LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 1 DANIEL BURNHAM CT STE 205C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5472
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Country | US
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Telephone | 415-221-7056
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Fax | 415-221-7058
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Provider Business Mailing Address
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Address Line | 1 DANIEL BURNHAM CT STE 205C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5472
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Country | US
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Telephone | 415-221-7056
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Fax | 415-221-7058
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MICHELE M VILLEGAS
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Credential |
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Telephone | 415-230-2422
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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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