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General NPI Number Information
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NPI Number | 1649285339
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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 | 07/30/2006
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 34709 9TH AVE S #B-500
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8722
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Country | US
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Telephone | 253-944-6950
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Fax | 253-661-8603
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Provider Business Mailing Address
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Address Line | 34709 9TH AVE S #B-500
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8722
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Country | US
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Telephone | 253-944-6950
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Fax | 253-661-8603
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | CLIFF ROBERTSON
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Credential |
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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