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General NPI Number Information
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NPI Number | 1992183578
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Entity Type | Organization
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Legal Business Name | HOMELESS CHILDREN'S NETWORK
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 3450 3RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-1443
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Country | US
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Telephone | 415-437-3990
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 FLORIBUNDA AVE APT 201
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City | BURLINGAME
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State | CA
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Zip | 94010-3869
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Country | US
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Telephone | 650-773-6576
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Fax |
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Authorized Official
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Title or Position | STUDENT IN HEALTHCARE
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Name | MISS ALEXANDRA NATASHA LAGRAN
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Credential |
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Telephone | 415-437-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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