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General NPI Number Information
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NPI Number | 1104721612
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Entity Type | Organization
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Legal Business Name | MAGNUMORPHIC HEALTH AND WELLNESS, INC.
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Dates
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Enumeration Date | 10/13/2026
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Last Update Date | 10/13/2026
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Provider Practice Location Address
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Address Line | 2902 CREST ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97603-6641
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Country | US
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Telephone | 541-606-5098
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-0017
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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 | DIRECTOR
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Name | MR. DONALD J HESS
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Credential |
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Telephone | 541-606-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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