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General NPI Number Information
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NPI Number | 1063321990
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Entity Type | Individual
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Provider Name | HAYELOM MEKONNEN ADANE
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Gender | Male
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 260 E 11TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-3247
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Country | US
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Telephone | 541-484-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 12TH ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2604
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Country | US
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Telephone | 458-325-6833
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OR
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