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General NPI Number Information
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NPI Number | 1538465018
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Entity Type | Individual
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Provider Name | ANGELA PASSANISI CLIFFORD MPA, PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 04/13/2013
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Provider Practice Location Address
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Address Line | 1500 OWENS ST BOX 3004
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2334
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Country | US
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Telephone | 415-514-8437
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 18TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA21454
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License Number State | CA
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