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General NPI Number Information
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NPI Number | 1629291745
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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 | 04/10/2007
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 450 STANYAN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1079
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Country | US
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Telephone | 415-668-1000
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Fax | 415-750-5899
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Provider Business Mailing Address
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Address Line | 2235 HAYES ST 5TH FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1012
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Country | US
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Telephone | 415-750-5500
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Fax | 415-750-5619
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ERIC BRETTNER
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Credential |
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Telephone | 415-750-5726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 220000071
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License Number State | CA
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