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General NPI Number Information
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NPI Number | 1881081446
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 300 PULLMAN ST ADMIN BLDG 2ND FLOOR
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City | LIVERMORE
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State | CA
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Zip | 94550
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Country | US
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Telephone | 925-294-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PULLMAN ST ADMIN BLDG 2ND FLOOR
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City | LIVERMORE
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State | CA
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Zip | 94550
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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 | PROJECT MANAGER
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Name | MISS ELISSA S LIONG
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Credential | RPH
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Telephone | 925-294-7004
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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 |
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License Number State |
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