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General NPI Number Information
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NPI Number | 1629158431
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 990 EDDY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-7713
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Country | US
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Telephone | 415-972-1200
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Fax | 415-972-1201
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Provider Business Mailing Address
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Address Line | 990 EDDY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-7713
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Country | US
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Telephone | 415-972-1200
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Fax | 415-972-1201
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Authorized Official
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Title or Position | CLINICAL SERVICES OFFICE MANAGER
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Name | MRS. JANET KINAHAN
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Credential |
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Telephone | 415-507-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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