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General NPI Number Information
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NPI Number | 1124181987
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Entity Type | Organization
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Legal Business Name | WASCO COUNTY NURSING CARE INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1015 WEBBER
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City | THE DALLES
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State | OR
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Zip | 97058-3586
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Country | US
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Telephone | 541-296-2156
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Fax | 541-298-1528
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Provider Business Mailing Address
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Address Line | 1015 WEBBER
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City | THE DALLES
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State | OR
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Zip | 97058-3586
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Country | US
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Telephone | 541-296-2156
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Fax | 541-298-1528
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Authorized Official
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Title or Position | CHAIRMAN
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Name | JOHN BYERS
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Credential |
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Telephone | 541-296-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 385049
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License Number State | OR
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