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General NPI Number Information
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NPI Number | 1124062997
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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 | 06/15/2006
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 1802 YAKIMA AVE SUITE 102
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City | TACOMA
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State | WA
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Zip | 98405-4499
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Country | US
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Telephone | 253-272-7777
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Fax | 253-426-4142
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Provider Business Mailing Address
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Address Line | 1802 YAKIMA AVE SUITE 102
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City | TACOMA
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State | WA
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Zip | 98405-4499
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Country | US
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Telephone | 253-272-7777
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Fax | 253-426-4142
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Authorized Official
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Title or Position | VP FINANCIAL OPS
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Name | MR. MIKE FITZGERALD
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Credential |
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Telephone | 253-552-4105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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