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General NPI Number Information
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NPI Number | 1154280006
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Entity Type | Organization
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Legal Business Name | PRAXIS HEALTH, PC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 354 W ADAMS AVE
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City | SISTERS
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State | OR
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Zip | 97759-2619
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Country | US
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Telephone | 541-389-7741
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Fax | 541-278-8375
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Provider Business Mailing Address
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Address Line | PO BOX 1517
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City | PENDLETON
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State | OR
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Zip | 97801-0410
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Country | US
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Telephone | 541-966-6136
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GARRETT TK KENNEDY
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Credential |
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Telephone | 541-278-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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