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General NPI Number Information
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NPI Number | 1649729203
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO ORTHOPAEDIC SURGEONS
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 1 SHRADER ST 650
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-221-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SHRADER ST STE 650
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-221-0665
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. DMITRI LEBEDEV
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Credential |
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Telephone | 415-213-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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