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General NPI Number Information
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NPI Number | 1811705031
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Entity Type | Organization
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Legal Business Name | UCSF MEDICAL GROUP BUSINESS SERVICES
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 225 CALIFORNIA DR
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City | BURLINGAME
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State | CA
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Zip | 94010-4145
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Country | US
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Telephone | 650-341-9131
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Fax | 650-341-9135
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Provider Business Mailing Address
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Address Line | PO BOX 880003
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City | LOS ANGELES
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State | CA
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Zip | 90088-0003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICHOLAS WONG
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Credential |
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Telephone | 415-353-7249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology 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 | 207RX0202X
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Taxonomy Name | Medical Oncology 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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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