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General NPI Number Information
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NPI Number | 1740311562
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH SYSTEM
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 6401 KIMBALL DR
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City | GIG HARBOR
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State | WA
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Zip | 98335-1228
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Country | US
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Telephone | 253-858-4335
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Fax | 253-858-4370
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Provider Business Mailing Address
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Address Line | 6401 KIMBALL DR
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City | GIG HARBOR
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State | WA
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Zip | 98335-1228
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Country | US
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Telephone | 253-858-4335
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Fax | 253-858-4370
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Authorized Official
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Title or Position | VP FINANCIAL OPS
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Name | MIKE FITZGERALD
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Credential |
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Telephone | 253-552-4105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | MD00015269
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License Number State | WA
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