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General NPI Number Information
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NPI Number | 1861308520
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Entity Type | Individual
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Provider Name | THIAGO JUNQUEIRA AVELINO DA SILVA
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Gender | Male
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 505 PARNASSUS AVE # M-987
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2204
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Country | US
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Telephone | 415-476-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 490 ILLINOIS ST FL 8
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2510
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Country | US
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Telephone | 415-476-0234
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Fax | 415-514-8192
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | SFP60
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License Number State | CA
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