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General NPI Number Information
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NPI Number | 1821146572
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HOSPITALS
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 9521 D DALEN STREET ROOM R
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City | DOWNEY
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State | CA
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Zip | 90242
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Country | US
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Telephone | 562-401-4209
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Fax | 562-401-2378
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Provider Business Mailing Address
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Address Line | 9521 D DALEN STREET ROOM R
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City | DOWNEY
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State | CA
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Zip | 90242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP NAT'L PHRMCY PROG & SVCS
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Name | DAVID KVANCZ
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Credential |
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Telephone | 562-658-3510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY41612
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License Number State | CA
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