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General NPI Number Information
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NPI Number | 1013080084
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1000 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558
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Country | US
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Telephone | 707-252-4411
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Fax | 707-257-4113
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Provider Business Mailing Address
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Address Line | 1000 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2906
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Country | US
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Telephone | 707-252-4411
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Fax | 707-257-4113
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Authorized Official
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Title or Position | ASSISTANT SECRETARY ENROLLMENTS
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Name | DONALD W ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 110000060
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License Number State | CA
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