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General NPI Number Information
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NPI Number | 1134437668
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Entity Type | Organization
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Legal Business Name | FRANCISCAN MEDICAL GROUP
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 6002 WESTGATE BLVD STE 230
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City | TACOMA
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State | WA
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Zip | 98406-2570
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Country | US
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Telephone | 253-761-2244
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Fax | 253-761-1040
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Provider Business Mailing Address
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Address Line | PO BOX 31001-1518
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City | PASADENA
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State | CA
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Zip | 91110-1518
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Country | US
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Telephone | 253-552-4100
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Fax | 253-552-4175
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DEAN FIELD
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Credential | MD
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Telephone | 253-858-9192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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