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General NPI Number Information
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NPI Number | 1801078969
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Entity Type | Individual
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Provider Name | JASON MICHAEL BRENNER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE # 1P2 SAN FRANCISCO GENERAL HOSPITAL
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 112 MOFFITT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-2617
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Country | US
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Telephone | 415-206-2329
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 54845
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 48150
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License Number State | TX
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