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General NPI Number Information
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NPI Number | 1568577955
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Entity Type | Organization
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Legal Business Name | DANIEL R CONLIN M D & ROBERT J ELSEN M D A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST STE 315
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2377
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Country | US
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Telephone | 415-923-3320
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Fax | 415-885-6748
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Provider Business Mailing Address
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Address Line | PO BOX 103887
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City | PASADENA
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State | CA
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Zip | 91189-3887
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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 | GENERAL PARTNER
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Name | ROBERT J. ELSEN
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Credential | M.D.
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Telephone | 415-863-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G71096
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License Number State | CA
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