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General NPI Number Information
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NPI Number | 1629498118
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Entity Type | Organization
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Legal Business Name | HEALTHRIGHT 360
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 1833 FILLMORE ST FL 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3181
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Country | US
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Telephone | 415-379-7800
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Fax | 415-865-0119
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Provider Business Mailing Address
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Address Line | 1563 MISSION STREET, 4TH FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2543
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Country | US
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Telephone | 415-762-3700
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Fax | 415-379-7804
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Authorized Official
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Title or Position | CEO
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Name | VITKA EISEN
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Credential |
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Telephone | 415-762-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | CA
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