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General NPI Number Information
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NPI Number | 1225694706
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Entity Type | Organization
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Legal Business Name | COLUMBIA LUTHERAN CHARITIES
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 1111 N ROOSEVELT DR STE 210
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City | SEASIDE
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State | OR
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Zip | 97138-4604
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Country | US
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Telephone | 503-738-3002
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Fax | 503-738-3005
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Provider Business Mailing Address
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Address Line | 2111 EXCHANGE ST
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City | ASTORIA
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State | OR
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Zip | 97103-3329
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Country | US
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Telephone | 503-325-4321
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Fax | 503-338-7585
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | KIMBERLY KAE THOMAS
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Credential |
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Telephone | 503-338-4027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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