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General NPI Number Information
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NPI Number | 1801983150
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE VALLEJO
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-651-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 1764 STUART CT
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City | BENICIA
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State | CA
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Zip | 94510-1731
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Country | US
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Telephone | 707-746-1339
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Fax |
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Authorized Official
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Title or Position | SERVICE DIRECTOR
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Name | CAMILE APPLIN-JONES
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Credential |
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Telephone | 707-651-4790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN276380
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | RN276380
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License Number State | CA
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