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General NPI Number Information
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NPI Number | 1992027593
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Entity Type | Organization
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Legal Business Name | PACIFIC CREST ORTHOPEDICS PC
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3338 17TH ST STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-7213
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Country | US
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Telephone | 415-923-0944
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Fax | 415-923-5896
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Provider Business Mailing Address
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Address Line | PO BOX 53305
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City | PHOENIX
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State | AZ
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Zip | 85072-3305
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Country | US
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Telephone |
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Fax | 415-923-5896
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NYIA DOHRMANN
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Credential |
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Telephone | 415-390-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G65796
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License Number State | CA
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