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General NPI Number Information
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NPI Number | 1982990164
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Entity Type | Individual
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Provider Name | LEAH JEAN WITT GASPARD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2011
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE STE A-6118
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-353-2961
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 GEARY BLVD FL 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-3212
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Country | US
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Telephone | 415-355-4900
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Fax | 415-353-8101
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A149546
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A149546
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A149546
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License Number State | CA
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