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General NPI Number Information
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NPI Number | 1710443908
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Entity Type | Individual
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Provider Name | MARGARET AYUKO SUDA MSN, RN, PHN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 333 VALENCIA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3547
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Country | US
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Telephone | 628-217-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 333 VALENCIA ST FL 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4697
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Country | US
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Telephone | 628-217-6840
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007385
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95007385
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95043144
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License Number State | CA
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