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General NPI Number Information
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NPI Number | 1942978960
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Entity Type | Organization
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Legal Business Name | PICNICCARE PC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 850 FOLSOM ST STE B
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1123
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Country | US
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Telephone | 415-723-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 850 FOLSOM ST STE B
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1123
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Country | US
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Telephone | 415-801-0572
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. CHET THARPE
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Credential | MD
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Telephone | 415-723-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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