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Objects / Healthcare Organization

Healthcare Organization Stored source record

SOUTHERN MARIN DERMATOLOGY, INC.

2330 MARINSHIP WAY, SUITE 370, SAUSALITO, CA, 949652853

atlas:atm_npi_1487090924

Block 1018Block Group 1Census Tract 1302.04Marin CountyCaliforniaUnited States

What is stored

phone
415-887-9758
status
A
address
2330 MARINSHIP WAY, SUITE 370, SAUSALITO, CA, 949652853
fax
415-887-9763
npi
1487090924
taxonomy
Dermatology
other names
[]
last updated
2013-05-10
taxonomy code
207N00000X
all taxonomies
["Dermatology"]
enumeration date
2013-05-10
enumeration type
NPI-2
practice locations
0
authorized official
ASHLEY SMITH
organizational subpart
NO

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{
  "fax": "415-887-9763",
  "npi": "1487090924",
  "phone": "415-887-9758",
  "status": "A",
  "address": "2330 MARINSHIP WAY, SUITE 370, SAUSALITO, CA, 949652853",
  "license": null,
  "taxonomy": "Dermatology",
  "other_names": [],
  "last_updated": "2013-05-10",
  "license_state": null,
  "taxonomy_code": "207N00000X",
  "all_taxonomies": [
    "Dermatology"
  ],
  "enumeration_date": "2013-05-10",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "ASHLEY SMITH",
  "organizational_subpart": "NO"
}