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General NPI Number Information
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NPI Number | 1154565190
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Entity Type | Organization
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Legal Business Name | UMATILLA-MORROW ESD
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 2001 SW NYE AVE
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City | PENDLETON
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State | OR
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Zip | 97801-4416
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Country | US
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Telephone | 541-966-3100
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Fax | 541-276-4245
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Provider Business Mailing Address
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Address Line | 2001 SW NYE AVE
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City | PENDLETON
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State | OR
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Zip | 97801-4416
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Country | US
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Telephone | 541-966-3100
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Fax | 541-276-4245
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. MARK MULVIHILL
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Credential |
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Telephone | 541-966-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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