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General NPI Number Information
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NPI Number | 1013917285
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Entity Type | Individual
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Provider Name | RUDOLF HOELLRICH MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 55 COBURG RD
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City | EUGENE
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State | OR
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Zip | 97401-2433
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Country | US
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Telephone | 541-485-8111
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Fax | 541-342-6379
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Provider Business Mailing Address
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Address Line | 55 COBURG RD
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City | EUGENE
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State | OR
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Zip | 97401-2433
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Country | US
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Telephone | 541-485-8111
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Fax | 541-868-0883
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | MD24215
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD24215
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License Number State | OR
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