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General NPI Number Information
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NPI Number | 1700950532
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HOSPITALS
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 975 SERENO DRIVE BAYVIEW NORTH ROOM 1112
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City | VALLEJO
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State | CA
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Zip | 94589-2226
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Country | US
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Telephone | 707-645-2730
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Fax | 925-645-2126
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Provider Business Mailing Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-645-2730
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT/AREA MANAGER
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Name | DARRYL CURRY
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Credential |
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Telephone | 209-345-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 100000739
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License Number State | CA
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