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General NPI Number Information
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NPI Number | 1083716229
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH SYSTEM
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 11315 BRIDGEPORT WAY SW STE A1087
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City | LAKEWOOD
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State | WA
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Zip | 98499-3004
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Country | US
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Telephone | 253-985-6290
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Fax | 253-985-6295
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Provider Business Mailing Address
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Address Line | 11315 BRIDGEPORT WAY SW STE A1087
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City | LAKEWOOD
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State | WA
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Zip | 98499-3004
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Country | US
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Telephone | 253-985-6290
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Fax | 253-985-6295
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Authorized Official
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Title or Position | CFO
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Name | MIKE FITZGERALD
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Credential |
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Telephone | 253-428-8560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | CR00005230
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License Number State | WA
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