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General NPI Number Information
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NPI Number | 1881760452
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Entity Type | Organization
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Legal Business Name | DIGNITY COMMUNITY CARE
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1911 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4131
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Country | US
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Telephone | 805-543-5353
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Fax | 805-543-5708
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Provider Business Mailing Address
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Address Line | 1400 E CHURCH ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-5906
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Country | US
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Telephone | 805-739-3000
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Fax | 805-739-3951
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MATT RICHARDSON
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Credential |
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Telephone | 805-739-3108
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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 | 050000031
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License Number State | CA
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