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General NPI Number Information
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NPI Number | 1699892182
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Entity Type | Organization
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Legal Business Name | ST LUKES WOMENS CENTER
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1650 VALENCIA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5013
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Country | US
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Telephone | 415-285-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 VALENCIA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-5013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OBGYN
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Name | DANIEL GROSSMAN
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Credential | M.D.
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Telephone | 415-285-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A60282
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License Number State | CA
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