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General NPI Number Information
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NPI Number | 1538217351
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 901 NEVIN AVE
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City | RICHMOND
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State | CA
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Zip | 94801-3143
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Country | US
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Telephone | 510-307-2262
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Fax | 510-307-2265
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Provider Business Mailing Address
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Address Line | 901 NEVIN AVE
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City | RICHMOND
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State | CA
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Zip | 94801-3143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY SERVICE MGR
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Name | RON ONG
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Credential |
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Telephone | 510-307-2257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PHY20602
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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