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General NPI Number Information
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NPI Number | 1639965577
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Entity Type | Individual
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Provider Name | LAZARO NUNEZ
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Gender | Male
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1222 HARRISON ST APT 1404
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4465
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Country | US
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Telephone | 305-942-7139
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 HARRISON ST APT 1404
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4465
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Country | US
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Telephone | 305-942-7139
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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 | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | RHT00108322
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | RHN00004320
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License Number State | CA
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