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General NPI Number Information
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NPI Number | 1164683207
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Entity Type | Organization
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Legal Business Name | DEERFIELD LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 5770 SE KELLOGG CREEK DR
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City | MILWAUKIE
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State | OR
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Zip | 97222-2128
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Country | US
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Telephone | 503-653-4064
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Fax | 503-659-4525
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Provider Business Mailing Address
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Address Line | 200 HAWTHORNE AVE SE STE A140
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City | SALEM
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State | OR
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Zip | 97301-5092
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Country | US
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Telephone | 503-588-2725
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Fax | 503-588-8653
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Authorized Official
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Title or Position | DIRECTOR OF RISK MANAGEMENT
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Name | ELIZABETH MARIE MOSS
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Credential |
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Telephone | 503-588-2725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 1431144356
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License Number State | OR
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