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General NPI Number Information
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NPI Number | 1619049491
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Entity Type | Organization
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Legal Business Name | JOHN MUIR HEALTH
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2700 GRANT ST
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City | CONCORD
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State | CA
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Zip | 94520-2266
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Country | US
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Telephone | 925-674-2637
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Fax | 925-674-2635
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Provider Business Mailing Address
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Address Line | 2700 GRANT ST
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City | CONCORD
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State | CA
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Zip | 94520-2266
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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 | CHIEF EXECUTIVE OFFICER
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Name | MICHAEL THOMAS
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Credential |
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Telephone | 925-941-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY42917
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License Number State | CA
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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 | PHY42917
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License Number State | CA
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