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General NPI Number Information
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NPI Number | 1568510303
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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 | 08/22/2020
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Provider Practice Location Address
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Address Line | 3733 SAN DIMAS ST STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1407
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Country | US
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Telephone | 661-631-3010
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Fax | 661-631-3011
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Provider Business Mailing Address
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Address Line | 3733 SAN DIMAS ST STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1407
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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 | SUPERVISOR
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Name | DAN SAYLES
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Credential |
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Telephone | 661-631-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PHY41007
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License Number State | CA
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