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General NPI Number Information
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NPI Number | 1215271887
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Entity Type | Individual
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Provider Name | NAKEIMA E DORR DNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 199 W HIGHWAY 20
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City | TOLEDO
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State | OR
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Zip | 97391-1242
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Country | US
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Telephone | 541-574-2730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1189
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City | CORVALLIS
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State | OR
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Zip | 97339-1189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201706161RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024172681
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201706892NP-PP
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License Number State | OR
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