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General NPI Number Information
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NPI Number | 1134876964
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Entity Type | Individual
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Provider Name | JULIE EILEEN HARTLEY NPC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 335 SW 13TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-4547
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Country | US
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Telephone | 541-889-8410
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Fax | 541-889-8093
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Provider Business Mailing Address
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Address Line | 335 SW 13TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-4547
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Country | US
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Telephone | 541-889-8410
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Fax | 541-889-8093
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 202202172NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 202202172NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202202172NP-PP
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License Number State | OR
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