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General NPI Number Information
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NPI Number | 1972621803
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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 | 03/27/2007
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 20 N COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-2585
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Country | US
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Telephone | 530-666-8828
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Fax | 530-666-8826
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Provider Business Mailing Address
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Address Line | 20 N COTTONWOOD ST
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City | WOODLAND
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State | CA
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Zip | 95695-2585
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Country | US
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Telephone | 530-666-8828
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Fax | 530-666-8826
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOSEPH D'ANGINA
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Credential |
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Telephone | 530-669-5372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 070000517
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License Number State | CA
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