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General NPI Number Information
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NPI Number | 1972541498
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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 | 06/04/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 6501 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0306
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Country | US
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Telephone | 858-275-8112
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Fax | 779-803-8118
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Provider Business Mailing Address
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Address Line | 3215 PROSPECT PARK DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6017
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Country | US
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Telephone | 858-275-8112
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Fax | 779-803-8118
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DANIEL MORISSETTE
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Credential |
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Telephone | 858-275-8112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 030000063
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License Number State | CA
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