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General NPI Number Information
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NPI Number | 1568393460
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Entity Type | Individual
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Provider Name | JAMIE DEINER
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Gender | Female
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Dates
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Enumeration Date | 05/28/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 555 FRANKLIN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-4414
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Country | US
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Telephone | 415-241-6085
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 POTRERO AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3520
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Country | US
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Telephone | 415-902-6125
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 11578
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License Number State | CA
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