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General NPI Number Information
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NPI Number | 1881740827
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN CARDIO-THORACIC SURGERY,A MEDICAL GROUP INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 SHRADER ST SUITE 600
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-831-8800
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Fax | 415-884-4468
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Provider Business Mailing Address
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Address Line | 1 SHRADER ST SUITE 600
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-831-8800
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Fax | 415-884-4468
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNE-MARIE REGAL
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Credential | M.D.
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Telephone | 415-831-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G22244
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License Number State | CA
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