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General NPI Number Information
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NPI Number | 1629145610
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Entity Type | Organization
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Legal Business Name | HEBREW HOME FOR THE AGED DISABLED DBA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 302 SILVER AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-469-2262
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Fax | 415-333-4345
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Provider Business Mailing Address
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Address Line | 302 SILVER AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-469-2262
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Fax | 415-333-4345
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Authorized Official
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Title or Position | CFO
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Name | KEVIN EMLET
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Credential |
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Telephone | 415-846-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 220000224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 220000224
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License Number State | CA
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