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General NPI Number Information
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NPI Number | 1740579630
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Entity Type | Organization
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Legal Business Name | FRANCISCAN MEDICAL GROUP
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 1617 S J ST MS 01-36
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City | TACOMA
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State | WA
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Zip | 98405-4930
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Country | US
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Telephone | 253-426-6306
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 S J ST MS 01-36
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City | TACOMA
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State | WA
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Zip | 98405-4930
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Country | US
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Telephone | 253-426-6306
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Fax |
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Authorized Official
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Title or Position | CMO/PRESIDENT
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Name | DR. DEAN FIELD
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Credential | MD
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Telephone | 253-680-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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