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General NPI Number Information
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NPI Number | 1225352032
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Entity Type | Organization
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Legal Business Name | ARLAN G. ZASTROW, MD, LLC
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 320 NW MEDICAL LOOP
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City | ROSEBURG
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State | OR
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Zip | 97471-1645
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Country | US
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Telephone | 541-673-0968
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Fax | 541-673-0080
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Provider Business Mailing Address
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Address Line | 320 NW MEDICAL LOOP
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City | ROSEBURG
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State | OR
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Zip | 97471-1645
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Country | US
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Telephone | 541-673-0968
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Fax | 541-673-0080
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA ZASTROW
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Credential |
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Telephone | 541-673-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MD11889
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License Number State | OR
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