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General NPI Number Information
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NPI Number | 1801329800
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 1425 S MAIN ST
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5318
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Country | US
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Telephone | 925-295-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 67 VIA ASPERO
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City | ALAMO
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State | CA
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Zip | 94507
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Country | US
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Telephone | 925-295-4461
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. CHRISTINA YIM FONG YEE
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Credential | PHARM.D
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Telephone | 925-918-3629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 038767
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License Number State | CA
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