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General NPI Number Information
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NPI Number | 1225017429
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Entity Type | Individual
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Provider Name | PAULA F CIESIELSKI MD
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 960 N 16TH ST SUITE 303
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4175
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Country | US
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Telephone | 541-746-6815
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Fax | 541-726-3177
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Provider Business Mailing Address
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Address Line | 960 N 16TH ST SUITE 303
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4175
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Country | US
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Telephone | 541-746-6815
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Fax | 541-726-3177
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD12953
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License Number State | OR
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