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General NPI Number Information
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NPI Number | 1225826993
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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 | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 7150 N CORPORATE DRIVE, FL 4, RM 4600A
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City | FRESNO
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State | CA
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Zip | 93720-8401
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Country | US
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Telephone | 559-912-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 N CORPORATE DR FL 4
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City | FRESNO
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State | CA
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Zip | 93720-8401
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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 | VP, PHARMACY OPERATIONS AND SERVICE
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Name | KATHRYN RENOUARD BROWN
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Credential |
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Telephone | 510-219-3954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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