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General NPI Number Information
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NPI Number | 1265833396
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Entity Type | Organization
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Legal Business Name | SCHOLLS FAMILY CARE
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 14795 SW MURRAY SCHOLLS DR STE 121
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City | BEAVERTON
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State | OR
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Zip | 97007-9713
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Country | US
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Telephone | 971-998-8755
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Fax | 503-530-8395
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Provider Business Mailing Address
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Address Line | 38510 SW ROYJEAN LN
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City | GASTON
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State | OR
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Zip | 97119-8624
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Country | US
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Telephone | 971-998-8755
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Fax | 503-530-8395
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MS. JUDITH ANN SCHIERHOLZ
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Credential |
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Telephone | 971-998-8755
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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 |
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License Number State |
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