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General NPI Number Information
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NPI Number | 1215213756
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Entity Type | Organization
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Legal Business Name | NORTHWEST ASSOCIATION OF SURGICAL ASSISTANTS, INC.
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 3782 PO BOX
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City | SPRINGFIELD
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State | OR
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Zip | 97475
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Country | US
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Telephone | 541-683-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7382
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City | SPRINGFIELD
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State | OR
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Zip | 97475
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Country | US
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Telephone | 541-683-5000
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Fax |
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Authorized Official
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Title or Position | CERTIFIED SURGICAL FIRST ASSISTANT
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Name | MR. JACOB N MARTINEZ
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Credential | CSFA
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Telephone | 541-683-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 101508
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 82427
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 82440
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F01120
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 113006
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 104266
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License Number State | OR
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