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General NPI Number Information
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NPI Number | 1922959808
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Entity Type | Organization
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Legal Business Name | 8MA SPACE
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 80 SAN GABRIEL AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1905
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Country | US
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Telephone | 650-705-9227
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SAN GABRIEL AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-1905
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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 | MANAGING MEMBER
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Name | NATASA BUNTIC
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Credential |
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Telephone | 650-305-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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