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General NPI Number Information
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NPI Number | 1245360361
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF SOUTHWESTERN OREGON
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 4969 HIGHWAY 101
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City | FLORENCE
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State | OR
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Zip | 97439-7803
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Country | US
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Telephone | 541-344-2632
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Fax | 541-344-6519
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Provider Business Mailing Address
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Address Line | 3579 FRANKLIN BLVD
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City | EUGENE
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State | OR
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Zip | 97403-2356
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Country | US
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Telephone | 541-344-2632
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Fax | 541-344-6519
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT SERVICES
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Name | MS. KELLY HALL
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Credential |
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Telephone | 541-344-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD21490
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | MD12242
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License Number State | OR
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