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General NPI Number Information
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NPI Number | 1487790697
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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 | 01/29/2007
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 124 S COLLEGE DR STE C
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City | SANTA MARIA
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State | CA
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Zip | 93454-5325
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Country | US
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Telephone | 805-739-3810
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Fax | 805-739-3851
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Provider Business Mailing Address
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Address Line | 124 S COLLEGE DR STE C
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City | SANTA MARIA
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State | CA
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Zip | 93454-5325
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Country | US
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Telephone | 805-739-3810
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Fax | 805-739-3851
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Authorized Official
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Title or Position | VP POST ACUTE CARE SERVICES
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Name | KATHLEEN SULLIVAN
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Credential | PHD
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Telephone | 805-739-3830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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