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General NPI Number Information
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NPI Number | 1801955992
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Entity Type | Organization
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Legal Business Name | SAN FRANCISCO MED. CLINIC FOR THE TREATMENT OF PAIN, P.C.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1790 26TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4316
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Country | US
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Telephone | 415-731-1330
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Fax | 415-566-1066
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Provider Business Mailing Address
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Address Line | 1790 26TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-4316
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Country | US
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Telephone | 415-731-1330
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Fax | 415-566-1066
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TSUN-NIN LEE
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Credential | M.D.
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Telephone | 415-731-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | G20668
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License Number State | CA
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