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NPI 1972679645

NPI 1972679645 : JENNIFER F HOLDEN MD : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1972679645
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER F HOLDEN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2006
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    3838 CALIFORNIA ST RM 111 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118-1504
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    Country              |    US
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    Telephone            |    415-387-9293
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2165 EAST STREET 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520
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    Country              |    US
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    Telephone            |    925-827-9195
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    Fax                  |    925-827-9278
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    A63088
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    License Number State |    CA
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