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General NPI Number Information
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NPI Number | 1740304112
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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 | 03/19/2007
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 2045 40TH AVE SUITE A
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City | CAPITOLA
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State | CA
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Zip | 95010-2549
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Country | US
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Telephone | 831-465-7988
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Fax | 831-465-7996
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Provider Business Mailing Address
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Address Line | 1555 SOQUEL DR HOME HEALTH
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1705
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Country | US
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Telephone | 831-462-7501
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Fax | 831-462-7555
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MICHAEL WALSH
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Credential |
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Telephone | 831-462-7504
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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 | 070000473
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License Number State | CA
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