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General NPI Number Information
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NPI Number | 1063758316
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Entity Type | Organization
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Legal Business Name | SMARITAN HEALTH SERVICES INC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 777 NW 9TH ST SUITE 310
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City | CORVALLIS
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State | OR
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Zip | 97330-6169
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Country | US
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Telephone | 541-768-5850
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Fax | 541-768-5851
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Provider Business Mailing Address
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Address Line | 777 NW 9TH ST SUITE 310
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City | CORVALLIS
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State | OR
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Zip | 97330-6169
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Country | US
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Telephone | 541-768-5850
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Fax | 541-768-5851
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Authorized Official
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Title or Position | COO
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Name | BECKY A PAPE
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Credential |
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Telephone | 541-768-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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