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General NPI Number Information
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NPI Number | 1306991211
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HOSPITALS
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-2000
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Fax | 651-353-4611
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Provider Business Mailing Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-2000
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Fax | 651-353-4611
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VITA M WILLETT
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Credential |
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Telephone | 951-353-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 250000327
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License Number State | CA
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