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General NPI Number Information
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NPI Number | 1598991689
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Entity Type | Organization
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Legal Business Name | TOAD HALL INC
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 369 PINE ST STE 422
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-3310
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Country | US
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Telephone | 415-788-4128
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Fax | 415-788-4180
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Provider Business Mailing Address
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Address Line | 369 PINE ST STE 422
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-3310
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Country | US
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Telephone | 415-788-4128
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Fax | 415-788-4180
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL J REID
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Credential | M.D.
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Telephone | 415-788-4128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | G13859
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License Number State | CA
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