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General NPI Number Information
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NPI Number | 1164701066
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Entity Type | Organization
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Legal Business Name | ORASSESS LLC
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 735 S 2ND ST
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City | CRESWELL
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State | OR
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Zip | 97426-7507
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Country | US
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Telephone | 541-520-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 82328 BEAR CREEK RD
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City | CRESWELL
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State | OR
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Zip | 97426-9837
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Country | US
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Telephone | 541-520-5333
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Fax |
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Authorized Official
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Title or Position | DENTAL HYGIENIST FOR LTD. ACCESS
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Name | MS. J KRISTEN CAMPBELL
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Credential | RDH FOR LTD ACCESS
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Telephone | 541-520-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | H2564
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License Number State | OR
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