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General NPI Number Information
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NPI Number | 1083980916
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL, CORVALLIS
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 3640 NW SAMARITAN DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3784
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Country | US
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Telephone | 541-768-4920
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Fax | 541-768-4929
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Provider Business Mailing Address
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Address Line | 3640 NW SAMARITAN DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3784
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Country | US
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Telephone | 541-768-4920
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Fax | 541-768-4929
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Authorized Official
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Title or Position | CEO
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Name | STEVE W JASPERSON
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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