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General NPI Number Information
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NPI Number | 1780792523
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Entity Type | Organization
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Legal Business Name | MARIN ENDOCRINE CARE & RESEARCH INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 900 SOUTH ELISEO DRIVE #201
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City | GREENBRAE
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State | CA
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Zip | 94904
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Country | US
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Telephone | 415-461-1780
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Fax | 415-461-7378
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Provider Business Mailing Address
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Address Line | 900 SOUTH ELISEO DRIVE #201
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City | GREENBRAE
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State | CA
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Zip | 94904
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Country | US
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Telephone | 415-461-1780
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Fax | 415-461-7378
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD I BERNSTEIN
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Credential | MD
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Telephone | 415-461-1780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 540997
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 00G179390
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 00G353640
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9726
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License Number State | CA
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