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NPI 1780399758

NPI 1780399758 : ADVANCECARE SAN FRANCISCO INC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1780399758
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCECARE SAN FRANCISCO INC 
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Dates
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    Enumeration Date     |    01/13/2023
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    2301 MARKET ST STE 1 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114-1691
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    Country              |    US
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    Telephone            |    415-963-4520
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2301 MARKET ST STE 1 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114-1691
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    Country              |    US
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    Telephone            |    415-963-4520
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CONTRACTING & LICENSING SPECIALIST
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    Name                 |     TAMMY  FREEMAN 
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    Credential           |    
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    Telephone            |    415-963-4520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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