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General NPI Number Information
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NPI Number | 1699985747
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Entity Type | Individual
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Provider Name | JOSIAH BARTLETT AMBROSE MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | UCSF DEPT OF NEUROLOGY 505 PARNASSUS, BOX 0114
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0001
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Country | US
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Telephone | 415-353-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 421 ROLLING HILLS AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4322
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Country | US
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Telephone | 646-265-4572
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A99517
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License Number State | CA
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