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General NPI Number Information
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NPI Number | 1659491389
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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 | 03/29/2007
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 914 PINE ST
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City | MOUNT SHASTA
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State | CA
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Zip | 96067-2143
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Country | US
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Telephone | 530-926-6111
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Fax | 530-225-7278
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Provider Business Mailing Address
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Address Line | 914 PINE ST
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City | MOUNT SHASTA
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State | CA
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Zip | 96067-2143
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Country | US
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Telephone | 530-926-6111
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Fax | 530-225-7278
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KIM MIRANDA
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Credential |
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Telephone | 530-225-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HSP45527
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License Number State | CA
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