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General NPI Number Information
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NPI Number | 1982387395
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN INC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 6600 BRUCEVILLE RD ED BLDG FL 1 RM H2416
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City | SACRAMENTO
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State | CA
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Zip | 95823
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Country | US
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Telephone | 916-288-2779
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Fax |
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Provider Business Mailing Address
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Address Line | 1 KAISER PLZ FL 17
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City | OAKLAND
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State | CA
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Zip | 94612-3610
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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 PHARMACY OPS AND SERVICES NCAL
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Name | KATHRYN RENOUARD BROWN
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Credential |
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Telephone | 510-219-3954
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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 |
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License Number State |
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