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General NPI Number Information
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NPI Number | 1033738455
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Entity Type | Individual
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Provider Name | CORNELIU VOLOSEN ARNP
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Gender | Male
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6800 SW 105TH AVE STE 206
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City | BEAVERTON
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State | OR
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Zip | 97008-5487
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Country | US
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Telephone | 503-430-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 SW 105TH AVE STE 206
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City | BEAVERTON
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State | OR
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Zip | 97008-5487
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Country | US
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Telephone | 503-430-1777
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Fax | 503-372-5119
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61077703
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AG030200045
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP61077703
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10025666
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License Number State | OR
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