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General NPI Number Information
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NPI Number | 1164102687
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN, INC.
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 74-517 HONOKOHAU ST
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City | KAILUA KONA
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State | HI
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Zip | 96740-2715
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Country | US
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Telephone | 808-334-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1 KAISER PLZ FL 25
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City | OAKLAND
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State | CA
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Zip | 94612-3610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, CARE AT HOME
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Name | ANGEL L VARGAS
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Credential |
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Telephone | 626-773-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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