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NPI 1114972791

NPI 1114972791 : MULTICARE HEALTH SYSTEM : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1114972791
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    Entity Type          |    Organization 
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    Legal Business Name  |    MULTICARE HEALTH SYSTEM 
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Dates
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    Enumeration Date     |    05/23/2006
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    Last Update Date     |    09/04/2013
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Provider Practice Location Address
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    Address Line         |    315 MARTIN LUTHER KING JR WAY 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-4234
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    Country              |    US
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    Telephone            |    253-403-7537
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    315 MARTIN LUTHER KING JR WAY 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98405-4234
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    Country              |    US
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    Telephone            |    253-403-7537
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     VINCENT H SCHMITZ 
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    Credential           |    
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    Telephone            |    253-459-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2086S0102X
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    Taxonomy Name        |    Surgical Critical Care Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QC0050X
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    Taxonomy Name        |    Critical Access Hospital Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    261QE0002X
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    Taxonomy Name        |    Emergency Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    2080P0203X
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    Taxonomy Name        |    Pediatric Critical Care Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    2080P0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Pediatrics) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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