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General NPI Number Information
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NPI Number | 1598792251
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Entity Type | Individual
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Provider Name | CLARE IRENE SENCHYNA NP, PA, RN
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | TOM WADDELL HEALTH CENTER 50 IVY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-4506
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Country | US
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Telephone | 415-355-7400
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Fax | 415-355-7402
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Provider Business Mailing Address
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Address Line | 163 PUTNAM ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-6215
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Country | US
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Telephone | 415-821-9142
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Fax |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN418863
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA17417
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPF8160
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License Number State | CA
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