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General NPI Number Information
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NPI Number | 1053047944
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Entity Type | Individual
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Provider Name | ELENA TALEA OD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 5317 E MAIN ST
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City | HILLSBORO
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State | OR
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Zip | 97123-6447
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Country | US
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Telephone | 503-648-5522
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Fax | 503-844-9334
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Provider Business Mailing Address
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Address Line | 2070 NW BLACK PINES PL UNIT 1
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City | BEND
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State | OR
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Zip | 97703-2278
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Country | US
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Telephone |
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ATI4647
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License Number State | OR
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