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General NPI Number Information
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NPI Number | 1437161452
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Entity Type | Organization
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Legal Business Name | JOHN MUIR HEALTH
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 2298 PIKE CT
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City | CONCORD
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State | CA
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Zip | 94520-1251
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Country | US
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Telephone | 924-674-2560
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Fax | 925-674-2725
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Provider Business Mailing Address
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Address Line | 2298 PIKE CT
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City | CONCORD
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State | CA
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Zip | 94520-1251
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Country | US
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Telephone | 925-674-2560
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Fax | 925-674-2725
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. KENNETH L. MEEHAN
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Credential |
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Telephone | 925-947-5234
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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 | CA
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