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General NPI Number Information
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NPI Number | 1104159565
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Entity Type | Organization
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Legal Business Name | COMPANION PET CLINIC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 14292A SW ALLEN BLVD
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City | BEAVERTON
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State | OR
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Zip | 97005-4405
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Country | US
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Telephone | 503-641-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 14292A SW ALLEN BLVD
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City | BEAVERTON
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State | OR
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Zip | 97005-4405
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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 | VET
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Name | DR. D SCHLINGMAN
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Credential | DVM
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Telephone | 503-641-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 16293
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License Number State | OR
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