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General NPI Number Information
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NPI Number | 1760334254
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Entity Type | Individual
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Provider Name | EMMA TYNAN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1109 SIR FRANCIS DRAKE BLVD
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City | KENTFIELD
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State | CA
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Zip | 94904-1418
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Country | US
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Telephone | 415-473-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 500 BEALE ST APT 113
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2027
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Country | US
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Telephone | 707-291-1970
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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