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General NPI Number Information
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NPI Number | 1891974515
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Entity Type | Organization
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Legal Business Name | CITY & COUNTY OF SAN FRANCISCO
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 101 GOUGH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-5903
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Country | US
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Telephone | 415-255-3400
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Fax | 415-252-3032
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Provider Business Mailing Address
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Address Line | 101 GOUGH STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-255-3400
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Fax | 415-252-3032
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Authorized Official
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Title or Position | DEPARTMENT OF PUBLIC HEALTH-COMPLIA
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Name | MRS. CHONA G. BAUTISTA-PERALTA
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Credential | LCSW
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Telephone | 415-255-3443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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