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NPI 1750969945

NPI 1750969945 : JUAN CARLOS PAULI I : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1750969945
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    Entity Type          |    Individual 
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    Provider Name        |    JUAN CARLOS PAULI I
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/30/2021
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    1263 MISSION ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94103-2705
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    Country              |    US
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    Telephone            |    628-260-1946
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1439 BEL AIR DR APT B 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94521-2676
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    Country              |    US
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    Telephone            |    925-332-6225
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCSW129448
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    License Number State |    CA
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