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NPI Code Detail

MEDICARE: JEREMIAH RAE ASUQUE

MEDICARE: JEREMIAH RAE ASUQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker130625CA

General Provider Information

NPI Number : 1023522257
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMIAH RAE ASUQUE
Provider Business Mailing Address
First Line : 555 STEVENSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-1606
Country : US
Telephone Number : 650-630-9905
Fax Number :
Provider Business Practice Location Address
First Line : 555 STEVENSON ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-1606
Country : US
Telephone Number : 628-217-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 09/19/2025

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Directions to “ JEREMIAH RAE ASUQUE ” Practice Location

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