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General NPI Number Information
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NPI Number | 1336588870
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Entity Type | Organization
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Legal Business Name | DIGNITY HEALTH
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 310 HARTNELL AVE
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City | REDDING
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State | CA
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Zip | 96002
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Country | US
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Telephone | 530-225-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 DATA DR 1ST FLOOR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone | 530-225-6300
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Fax | 530-225-7278
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KIM MIRANDA
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Credential |
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Telephone | 530-225-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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