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General NPI Number Information
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NPI Number | 1538327127
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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 | 05/30/2008
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 2175 ROSALINE AVE
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City | REDDING
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State | CA
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Zip | 96001-2509
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Country | US
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Telephone | 530-245-4810
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Fax | 530-245-4814
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Provider Business Mailing Address
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Address Line | 2175 ROSALINE AVE
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City | REDDING
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State | CA
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Zip | 96001-2509
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Country | US
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Telephone | 530-245-4810
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Fax | 530-245-4814
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOE D'ANGINA
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Credential |
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Telephone | 530-225-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF 868
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License Number State | CA
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