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General NPI Number Information
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NPI Number | 1710032735
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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 | 01/23/2007
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 17284 SLOVER AVE
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City | FONTANA
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State | CA
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Zip | 92337-7584
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Country | US
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Telephone | 909-609-3800
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Fax | 909-609-3884
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Provider Business Mailing Address
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Address Line | 17284 SLOVER AVE
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City | FONTANA
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State | CA
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Zip | 92337-7584
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Country | US
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Telephone | 909-609-3800
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Fax | 909-609-3884
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GREGORY K CHRISTIAN
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Credential |
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Telephone | 909-427-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 240000833
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License Number State | CA
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