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General NPI Number Information
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NPI Number | 1144191917
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Entity Type | Organization
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Legal Business Name | LOMA CARE LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2147 NE VILLAGE CT
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City | MCMINNVILLE
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State | OR
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Zip | 97128-9388
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Country | US
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Telephone | 925-381-3702
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 NE VILLAGE CT
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City | MCMINNVILLE
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State | OR
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Zip | 97128-9388
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Country | US
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Telephone | 925-381-3702
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Fax | 925-381-3702
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | SARAH RODRIGUEZ-KAMMERZELT
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Credential | RN
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Telephone | 925-381-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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