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General NPI Number Information
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NPI Number | 1639404114
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Entity Type | Individual
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Provider Name | KRISHAN SONI MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 505 PARNASSUS AVE SUITE 1181
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0120
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Country | US
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Telephone | 415-502-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 CALIFORNIA ST SUITE 1-10
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1981
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A110022
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A110022
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A110022
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License Number State | CA
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