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General NPI Number Information
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NPI Number | 1972697324
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Entity Type | Individual
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Provider Name | ERICA S. PAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 505 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-0106
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Country | US
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Telephone | 415-476-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 DIVISADERO STREET SUITE 625, BOX 1821
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-476-4029
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Fax | 415-476-4150
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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 | A64555
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | A64555
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License Number State | CA
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