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General NPI Number Information
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NPI Number | 1023165891
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Entity Type | Organization
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Legal Business Name | COASTAL HEALTH CENTER,P.C.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 216 CEDAR AVE
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City | TILLAMOOK
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State | OR
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Zip | 97141-2000
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Country | US
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Telephone | 503-842-3661
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Fax | 503-842-5331
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Provider Business Mailing Address
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Address Line | 216 CEDAR AVE
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City | TILLAMOOK
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State | OR
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Zip | 97141-2000
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Country | US
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Telephone | 503-842-3661
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Fax | 503-842-5331
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL RICHARD ARTHUR
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Credential | F.N.P.
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Telephone | 503-842-3661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 080046352N1FNP-PP
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License Number State | OR
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