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General NPI Number Information
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NPI Number | 1689065609
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Entity Type | Organization
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Legal Business Name | SFCH PATHOLOGY
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 845 JACKSON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-4851
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Country | US
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Telephone | 617-448-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 247 OLD QUARRY RD N
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City | LARKSPUR
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State | CA
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Zip | 94939-2224
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Country | US
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Telephone | 617-448-8925
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MS. MONICA P ZUCCA
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Credential | MD
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Telephone | 617-448-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G87915
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License Number State | CA
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