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General NPI Number Information
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NPI Number | 1558700179
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Entity Type | Individual
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Provider Name | EMILY JONES WILLOW MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 3253 STEINER ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-3362
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Country | US
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Telephone | 415-890-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 701 MANGELS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-2215
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Country | US
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Telephone | 843-530-1849
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A138947
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License Number State | CA
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