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General NPI Number Information
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NPI Number | 1578666186
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Entity Type | Individual
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Provider Name | JENNIFER HELEN DOVICHI MD
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3838 CALIFORNIA ST RM 111
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1504
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Country | US
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Telephone | 415-387-9293
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Fax | 415-885-3738
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Provider Business Mailing Address
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Address Line | 3 ALTARINDA ROAD SUITE 300
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City | ORINDA
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State | CA
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Zip | 94563
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Country | US
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Telephone | 925-254-9500
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Fax | 925-254-9505
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A66114
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License Number State | CA
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