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General NPI Number Information
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NPI Number | 1437397361
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Entity Type | Organization
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Legal Business Name | FRANCISCAN MEDICAL GROUP
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 1624 S. I ST. STE 205
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City | TACOMA
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State | WA
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Zip | 98405-5000
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Country | US
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Telephone | 253-426-4520
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 S. I ST. STE 205
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City | TACOMA
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State | WA
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Zip | 98405-5000
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Country | US
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Telephone | 253-426-4520
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DEAN A. FIELD
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Credential |
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Telephone | 253-680-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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