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General NPI Number Information
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NPI Number | 1770828014
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Entity Type | Individual
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Provider Name | CRISTINA A AZZOLA N.D.
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 2460 MISSION ST STE 212
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2458
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Country | US
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Telephone | 415-990-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 584 CASTRO ST # 633
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2512
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Country | US
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Telephone | 415-990-7286
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-538
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License Number State | CA
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