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General NPI Number Information
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NPI Number | 1003941808
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Entity Type | Organization
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Legal Business Name | DIGNITY HEALTH
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 3911 NORWOOD AVE
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City | SACRAMENTO
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State | CA
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Zip | 95838-3361
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Country | US
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Telephone | 916-929-8575
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Fax | 916-929-3548
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Provider Business Mailing Address
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Address Line | 3911 NORWOOD AVE
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City | SACRAMENTO
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State | CA
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Zip | 95838-3361
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Country | US
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Telephone | 916-929-8575
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Fax | 916-929-3548
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BONNIE JENKINS
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Credential |
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Telephone | 916-453-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 030000062
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License Number State | CA
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