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General NPI Number Information
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NPI Number | 1770881104
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Entity Type | Organization
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Legal Business Name | RICHARD F. GROSSMAN, M.D., INC.
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 490 POST ST SUITE 1701
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1401
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Country | US
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Telephone | 415-800-8371
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Fax |
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Provider Business Mailing Address
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Address Line | 490 POST ST SUITE 1701
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1401
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Country | US
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Telephone | 415-800-8371
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD FRANKLIN GROSSMAN
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Credential | M.D.
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Telephone | 415-800-8371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | G70330
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License Number State | CA
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