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General NPI Number Information
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NPI Number | 1558756536
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Entity Type | Organization
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Legal Business Name | HEALTHRIGHT 360
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 117 N SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-2708
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Country | US
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Telephone | 415-762-3700
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Fax | 415-865-0119
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Provider Business Mailing Address
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Address Line | 1563 MISSION ST, 4TH FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2543
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Country | US
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Telephone | 415-762-3700
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Fax | 415-865-0119
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Authorized Official
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Title or Position | CEO
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Name | VITKA EISEN
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Credential | MSW, E.D.D.
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Telephone | 415-762-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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