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NPI 1588765150

NPI 1588765150 : SELF CARE INC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1588765150
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    Entity Type          |    Organization 
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    Legal Business Name  |    SELF CARE INC 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    07/11/2007
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Provider Practice Location Address
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    Address Line         |    4827 GEARY BLVD 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118-2910
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    Country              |    US
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    Telephone            |    415-664-1100
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    Fax                  |    415-751-2244
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Provider Business Mailing Address
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    Address Line         |    4827 GEARY BLVD 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118-2910
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    Country              |    US
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    Telephone            |    415-664-1100
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    Fax                  |    415-751-2244
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PAUL K KIM 
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    Credential           |    
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    Telephone            |    415-664-1100
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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       |    100768
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    License Number State |    CA
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