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General NPI Number Information
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NPI Number | 1558222372
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Entity Type | Individual
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Provider Name | CHELENA LARRIVA RNFA
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 520 ILLINOIS ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2501
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Country | US
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Telephone | 415-476-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ESCONDIDO AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1327
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Country | US
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Telephone | 415-476-0351
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Fax | 415-476-7795
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 630388
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License Number State | CA
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