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General NPI Number Information
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NPI Number | 1538491253
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Entity Type | Organization
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Legal Business Name | KATHLEEN BELL UNGER A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 2000 VAN NESS AVE SUITE 710/711
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3023
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Country | US
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Telephone | 415-776-0456
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Fax | 415-668-9850
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Provider Business Mailing Address
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Address Line | 2000 VAN NESS AVE SUITE 710/711
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-3023
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Country | US
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Telephone | 415-776-0456
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Fax | 415-668-9850
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHLEEN BELL UNGER
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Credential | M.D.
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Telephone | 415-776-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | G23929
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License Number State | CA
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