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General NPI Number Information
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NPI Number | 1679665350
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE CARDIOLOGY
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 2340 CLAY ST STE 525
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 415-331-8390
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Fax | 415-331-8380
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Provider Business Mailing Address
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Address Line | 2340 CLAY ST STE 525
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 415-331-8390
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Fax | 415-331-8380
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JAMES MAILHOT
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Credential | M.D.
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Telephone | 415-331-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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