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General NPI Number Information
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NPI Number | 1285098194
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Entity Type | Organization
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Legal Business Name | SAHALI HEALTH LLC.
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 2211 NW PROFESSIONAL DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3891
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Country | US
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Telephone | 855-722-5513
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Fax | 541-230-1189
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Provider Business Mailing Address
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Address Line | 2211 NW PROFESSIONAL DR
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City | CORVALLIS
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State | OR
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Zip | 97330-3891
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Country | US
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Telephone | 855-722-5513
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Fax | 541-230-1189
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Authorized Official
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Title or Position | COO/CMO
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Name | DR. MICHAEL ANDREW MAY
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Credential | M.D
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Telephone | 541-740-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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