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General NPI Number Information
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NPI Number | 1437320041
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE
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Dates
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Enumeration Date | 03/22/2008
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Last Update Date | 03/22/2008
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Provider Practice Location Address
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Address Line | 5555 E ARAPAHOE RD
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City | CENTENNIAL
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State | CO
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Zip | 80122-2312
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Country | US
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Telephone | 303-338-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 E ARAPAHOE RD
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City | CENTENNIAL
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State | CO
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Zip | 80122-2312
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Country | US
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Telephone | 303-338-3376
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Fax |
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Authorized Official
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Title or Position | TRIAGE RN
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Name | MS. COLLEEN KATHLEEN KELLY
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Credential | RN
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Telephone | 303-338-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 57003
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License Number State | CO
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