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General NPI Number Information
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NPI Number | 1659487635
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Entity Type | Individual
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Provider Name | CARL GRUNFELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST METABOLISM SECTION 111F
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1545
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Country | US
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Telephone | 415-750-2005
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Fax | 415-750-6927
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Provider Business Mailing Address
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Address Line | VETERANS AFFAIRS MEDICAL CENTER 4150 CLEMENT STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1598
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Country | US
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Telephone | 415-750-2005
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Fax | 415-750-6927
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G41853
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License Number State | CA
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