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General NPI Number Information
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NPI Number | 1780829408
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 550 NAPLES ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-2824
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Country | US
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Telephone | 650-438-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 550 NAPLES ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-2824
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Country | US
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Telephone | 650-438-1184
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Fax |
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Authorized Official
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Title or Position | RAD TECH
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Name | MERCEDES LOPEZ
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Credential | ARRT
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Telephone | 650-438-1184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 370237
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 370237
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License Number State | CA
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