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General NPI Number Information
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NPI Number | 1992384994
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Entity Type | Individual
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Provider Name | RIO OWEN BEARDSLEY MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1101 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6919
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Country | US
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Telephone | 415-600-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3757 WEBSTER ST APT 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-1268
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A191800
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License Number State | CA
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