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NPI 1790668911

NPI 1790668911 : IRENE UNG NP : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1790668911
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    Entity Type          |    Individual 
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    Provider Name        |    IRENE UNG NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2025
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    Last Update Date     |    07/26/2025
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Provider Practice Location Address
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    Address Line         |    400 PARNASSUS AVE 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143-2202
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    Country              |    US
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    Telephone            |    415-476-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    518 GELLERT DR 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94132-1212
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    Country              |    US
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    Telephone            |    415-317-3783
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    95035686
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    95035686
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    License Number State |    CA
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