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General NPI Number Information
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NPI Number | 1801345996
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Entity Type | Individual
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Provider Name | KATHY BONACINI DPT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 1500 OWENS ST SUITE 400
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2334
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Country | US
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Telephone | 415-353-7598
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Fax | 415-353-9554
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Provider Business Mailing Address
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Address Line | 40 SAN RAFAEL WAY
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City | SAN FRANCISCO
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State | CA
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Zip | 94127-1949
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Country | US
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Telephone | 415-533-6991
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15642
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License Number State | CA
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