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General NPI Number Information
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NPI Number | 1275907339
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Entity Type | Organization
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Legal Business Name | UNITED COMMUNITY ACTION NETWORK
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 621 W MADRONE ST
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City | ROSEBURG
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State | OR
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Zip | 97470-3090
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Country | US
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Telephone | 541-440-3539
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Fax |
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Provider Business Mailing Address
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Address Line | 280 NE KENNETH FORD DR
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City | ROSEBURG
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State | OR
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Zip | 97470-1034
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Country | US
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Telephone | 541-492-3501
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING SPECIALIST II
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Name | KIRSTEN WILLIS
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Credential |
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Telephone | 541-492-3903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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