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General NPI Number Information
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NPI Number | 1205266343
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Entity Type | Organization
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Legal Business Name | OREGON UNIVERSITY SYSTEM
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 345 MONMOUTH AVE N STUDENT HEALTH & COUNSELING CENTER
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City | MONMOUTH
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State | OR
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Zip | 97361-1329
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Country | US
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Telephone | 503-838-8313
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Fax | 503-838-8801
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Provider Business Mailing Address
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Address Line | 345 MONMOUTH AVE N
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City | MONMOUTH
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State | OR
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Zip | 97361-1329
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Country | US
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Telephone | 503-838-8176
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Fax | 503-838-8014
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Authorized Official
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Title or Position | DIR OF BUSINESS SERV
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Name | MR. DARIN E SILBERNAGEL
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Credential |
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Telephone | 503-838-8176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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