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General NPI Number Information
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NPI Number | 1578832077
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Entity Type | Organization
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Legal Business Name | SPECTOCOR, LLC
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 8 CALIFORNIA ST STE 402
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-4828
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Country | US
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Telephone | 415-489-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CALIFORNIA ST STE 402
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-4828
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Country | US
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Telephone | 415-489-1993
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH H BOGDAN
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Credential |
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Telephone | 415-489-1993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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