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General NPI Number Information
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NPI Number | 1649218959
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Entity Type | Organization
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Legal Business Name | FRANCISCAN MEDICAL GROUP
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 11511 CANTERWOOD BLVD NW STE 205
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City | GIG HARBOR
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State | WA
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Zip | 98332-5813
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Country | US
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Telephone | 253-530-2663
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Fax | 253-530-2675
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Provider Business Mailing Address
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Address Line | 11511 CANTERWOOD BLVD NW STE 205
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City | GIG HARBOR
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State | WA
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Zip | 98332-5813
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Country | US
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Telephone | 253-530-2663
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Fax | 253-530-2675
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. CLIFF A ROBERTSON
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Credential | MD
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Telephone | 253-779-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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