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General NPI Number Information
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NPI Number | 1225224223
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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 | 09/24/2007
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 1812 S J ST STE 220
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City | TACOMA
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State | WA
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Zip | 98405-4964
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Country | US
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Telephone | 253-426-6762
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Fax | 253-426-6224
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Provider Business Mailing Address
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Address Line | 1812 S J ST STE 220
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City | TACOMA
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State | WA
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Zip | 98405-4964
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Country | US
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Telephone | 253-426-6762
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Fax | 253-426-6224
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Authorized Official
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Title or Position | VP FINANCIAL OPERATIONS
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Name | 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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | WA
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