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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Research |
261QR1100X |
| NPI Number | 1912261744 |
| LBN Legal business name | PROVIDENCE HEALTH PARTNERS |
| Authorized official | EDWARD HUBACH - (BOARD PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/26/2012 |
| Last updated | 06/27/2012 - About 14 years ago |
| Identifiers | n/a |
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