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General NPI Number Information
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NPI Number | 1659132553
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Entity Type | Organization
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Legal Business Name | PAIR TEAM MEDICAL GROUP, P.A.
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 95 3RD ST STE 293
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3103
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Country | US
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Telephone | 707-207-6571
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST STE 10011
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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Country | US
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Telephone | 707-207-6571
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | NATHAN FAVINI
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Credential |
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Telephone | 707-207-6571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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