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General NPI Number Information
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NPI Number | 1922830116
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Entity Type | Organization
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Legal Business Name | CAREBRIDGE MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 50 CALIFORNIA ST STE 1151
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-4624
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Country | US
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Telephone | 832-970-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 50 CALIFORNIA ST STE 1151
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-4624
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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 | PHYSICIAN
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Name | OLA ADAMS
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Credential | MD
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Telephone | 281-656-1790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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