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General NPI Number Information
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NPI Number | 1215221361
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Entity Type | Organization
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Legal Business Name | NORMUND K. AUZINS, DDS
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 2824 NE WASCO ST STE 230
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City | PORTLAND
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State | OR
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Zip | 97232-1772
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Country | US
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Telephone | 503-289-9621
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Fax | 503-289-2930
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Provider Business Mailing Address
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Address Line | 2824 NE WASCO ST STE 230
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City | PORTLAND
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State | OR
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Zip | 97232-1772
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Country | US
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Telephone | 503-289-9621
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Fax | 503-289-2930
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Authorized Official
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Title or Position | OWNER
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Name | DR. NORMUND K AUZINS
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Credential | DDS
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Telephone | 503-289-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D8996
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License Number State | OR
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