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General NPI Number Information
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NPI Number | 1023634854
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Entity Type | Organization
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Legal Business Name | RSL SPRINGFIELD, LLC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 6135 E ST
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City | SPRINGFIELD
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State | OR
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Zip | 97478-7023
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Country | US
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Telephone | 541-225-0200
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Fax | 541-726-3177
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Provider Business Mailing Address
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Address Line | 10220 SW GREENBURG RD STE 201
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City | PORTLAND
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State | OR
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Zip | 97223-5505
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Country | US
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Telephone | 503-595-2810
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Fax | 503-595-2818
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Authorized Official
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Title or Position | PRESIDENT OF MANAGER
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Name | JAMES GUFFEE
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Credential |
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Telephone | 503-595-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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