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General NPI Number Information
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NPI Number | 1821028200
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Entity Type | Organization
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Legal Business Name | DIGNITY HEALTH MEDICAL FOUNDATION
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 2110 PROFESSIONAL DR SUITE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-3752
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Country | US
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Telephone | 916-787-0404
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Fax | 916-787-0434
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Provider Business Mailing Address
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Address Line | 3000 Q ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-7058
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Country | US
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Telephone | 916-733-5701
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Fax | 916-733-3401
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | THERESA M HYLEN
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Credential |
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Telephone | 916-851-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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