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General NPI Number Information
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NPI Number | 1306966536
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Entity Type | Organization
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Legal Business Name | HILLSBORO CARDIOLOGY, PC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 333 SE 7TH AVE STE 5400
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City | HILLSBORO
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State | OR
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Zip | 97123-4165
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Country | US
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Telephone | 503-648-0731
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Fax | 503-640-2747
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Provider Business Mailing Address
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Address Line | 333 SE 7TH AVE STE 5400
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City | HILLSBORO
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State | OR
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Zip | 97123-4165
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Country | US
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Telephone | 503-648-0731
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Fax | 503-640-2747
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | MR. SCOTT CONROY
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Credential |
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Telephone | 503-648-0731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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