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General NPI Number Information
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NPI Number | 1588816656
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Entity Type | Individual
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Provider Name | JOAN OMAHONY NP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 500 PARNASSUS AVE MU WEST, MU-425, BOX 0118
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2203
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Country | US
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Telephone | 415-353-1606
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Fax | 415-353-1312
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Provider Business Mailing Address
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Address Line | 513 PARNASSUS AVE UCSF S-762
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 650-255-9619
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Fax | 415-353-1498
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 15305
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License Number State | CA
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