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General NPI Number Information
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NPI Number | 1548443229
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Entity Type | Individual
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Provider Name | TIMOTHY PATRICK BARRY LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVENUE, WARD 93, BUILDING 90, 3RD FLOOR SAN FRANCISCO GENERAL HOSPITAL OTOP
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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 | 415-206-3433
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Fax |
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Provider Business Mailing Address
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Address Line | SAN FRANCISCO GENERAL HOSPITAL OTOP 1001 POTRERO AVENUE, WARD 93 BOX 0852
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City | SAN FRANCISCO
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State | CALIFORNIA
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Zip | 94110
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Country | UM
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115532
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 25449
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License Number State | CA
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