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General NPI Number Information
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NPI Number | 1043433592
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Entity Type | Organization
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Legal Business Name | CITY OF VALE
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 252 B ST W
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City | VALE
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State | OR
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Zip | 97918-1361
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Country | US
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Telephone | 541-473-3796
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Fax | 541-473-9667
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Provider Business Mailing Address
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Address Line | 252 B ST W
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City | VALE
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State | OR
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Zip | 97918-1361
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Country | US
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Telephone | 541-473-3796
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Fax | 541-473-9667
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Authorized Official
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Title or Position | BILLING CLERK
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Name | TODD H HESSE
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Credential |
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Telephone | 541-473-3796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2302
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License Number State | OR
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