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General NPI Number Information
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NPI Number | 1558076786
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Entity Type | Organization
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Legal Business Name | PARK HILL HEALTH SERVICES PA
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 444 8TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4428
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Country | US
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Telephone | 913-484-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST # 50727
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5401
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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 | ADMINISTRATOR
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Name | MARJORIE JACKLYN JACOBE
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Credential |
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Telephone | 713-444-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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