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General NPI Number Information
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NPI Number | 1790578466
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Entity Type | Organization
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Legal Business Name | DOCTRONIC PHYSICIANS GROUP
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2948 16TH ST STE 200-6
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3613
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Country | US
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Telephone | 415-340-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 6742 FOREST HILL BLVD # 283
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City | GREENACRES
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State | FL
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Zip | 33413-3321
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Country | US
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Telephone | 415-340-2274
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Fax | 415-621-9221
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | NICOLE GUETHLER
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Credential |
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Telephone | 415-340-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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