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General NPI Number Information
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NPI Number | 1033984075
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Entity Type | Organization
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Legal Business Name | AURA INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 15 82ND DR STE 100
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City | GLADSTONE
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State | OR
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Zip | 97027-2550
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Country | US
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Telephone | 503-905-2526
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Fax | 503-974-3256
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Provider Business Mailing Address
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Address Line | 15 82ND DR STE 100
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City | GLADSTONE
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State | OR
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Zip | 97027-2550
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Country | US
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Telephone | 503-905-2526
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Fax | 503-974-3256
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | CYNTHIA CURRIE
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Credential |
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Telephone | 503-995-2746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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