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General NPI Number Information
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NPI Number | 1275576159
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Entity Type | Organization
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Legal Business Name | ALSEA RURAL HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 201 N. 4TH ST.
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City | ALSEA
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State | OR
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Zip | 97324-0229
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Country | US
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Telephone | 541-487-7116
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Fax | 541-487-4076
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Provider Business Mailing Address
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Address Line | 435 E. ALDER ST. PO BOX 229
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City | ALSEA
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State | OR
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Zip | 97324-0229
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Country | US
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Telephone | 541-487-7116
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Fax | 541-487-4076
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MS. MARY ANN CARR
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Credential | FNP
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Telephone | 541-487-7116
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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 | OR
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