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General NPI Number Information
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NPI Number | 1831253715
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Entity Type | Organization
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Legal Business Name | PROGRESS FOUNDATION
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 212 ASHBURY ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2025
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Country | US
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Telephone | 415-775-6194
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Fax | 415-775-1120
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Provider Business Mailing Address
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Address Line | 368 FELL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5144
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Country | US
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Telephone | 415-861-0828
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Fax | 415-861-0257
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEVEN FIELDS
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Credential | MA
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Telephone | 415-861-0828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 385600003
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License Number State | CA
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