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General NPI Number Information
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NPI Number | 1033192521
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Entity Type | Individual
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Provider Name | DAVID R. MASLEN MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 10024 SE 32ND AVE
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City | MILWAUKIE
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State | OR
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Zip | 97222-6514
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Country | US
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Telephone | 503-659-4988
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Fax | 503-654-5666
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Provider Business Mailing Address
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Address Line | PO BOX 22075
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City | MILWAUKIE
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State | OR
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Zip | 97269-2075
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Country | US
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Telephone | 503-659-4777
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Fax | 503-652-5223
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD19175
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License Number State | OR
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