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General NPI Number Information
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NPI Number | 1013672179
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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 | 11/03/2021
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 19001 N SCOTTSDALE RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9679
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Country | US
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Telephone | 602-217-1989
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Fax | 602-294-5388
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Provider Business Mailing Address
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Address Line | 19001 N SCOTTSDALE RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9679
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Country | US
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Telephone | 602-217-1989
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Fax | 602-294-5388
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JEFFREY JACKSON
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Credential |
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Telephone | 461-860-2406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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