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General NPI Number Information
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NPI Number | 1821134040
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Entity Type | Organization
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Legal Business Name | DIGNITY HEALTH
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 124 S COLLEGE DR
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City | SANTA MARIA
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State | CA
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Zip | 93454-5325
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Country | US
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Telephone | 805-739-3830
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Fax | 805-739-3829
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Provider Business Mailing Address
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Address Line | 124 S COLLEGE DR
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City | SANTA MARIA
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State | CA
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Zip | 93454-5325
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Country | US
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Telephone | 805-739-3830
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Fax | 805-739-3829
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | SUE ANDERSEN
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Credential |
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Telephone | 805-739-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 070000712
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License Number State | CA
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