{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UNIVERSITY OF CA, SAN FRANCISCO",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1701 DIVISADERO",
"SecondLineMailingAddress": "SUITE 240",
"MailingAddressCityName": "SAN FRANCISCO",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "94143-0625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-353-7238",
"MailingAddressFaxNumber": "415-353-9554",
"FirstLinePracticeLocationAddress": "1701 DIVISADERO",
"SecondLinePracticeLocationAddress": "SUITE 240",
"PracticeLocationAddressCityName": "SAN FRANCISCO",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "415-353-7238",
"PracticeLocationAddressFaxNumber": "415-353-9554",
"EnumerationDate": "07/09/2008",
"LastUpdateDate": "07/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KATZMAN",
"AuthorizedOfficialFirstName": "WENDY",
"AuthorizedOfficialMiddleName": "BETH",
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"AuthorizedOfficialCredential": "PT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "78835",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}