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General NPI Number Information
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NPI Number | 1659954188
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Entity Type | Organization
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Legal Business Name | NICOLE HARKIN MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 2578 PINE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2669
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Country | US
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Telephone | 415-617-5759
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Fax | 503-447-4303
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Provider Business Mailing Address
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Address Line | 2021 FILLMORE ST # 51
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2708
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Country | US
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Telephone | 415-617-5759
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Fax | 503-447-4303
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Authorized Official
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Title or Position | CARDIOLOGIST AND FOUNDER
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Name | DR. NICOLE HARKIN
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Credential | MD
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Telephone | 415-617-5759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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