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General NPI Number Information
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NPI Number | 1316932122
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Entity Type | Organization
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Legal Business Name | OREGON EYE SURGERY CENTER, INC
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1550 OAK ST
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City | EUGENE
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State | OR
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Zip | 97401-7701
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Country | US
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Telephone | 541-484-4988
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Fax | 541-434-0960
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Provider Business Mailing Address
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Address Line | 1550 OAK ST SUITE #2
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City | EUGENE
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State | OR
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Zip | 97401-7701
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Country | US
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Telephone | 541-484-4988
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Fax | 541-434-0960
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Authorized Official
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Title or Position | SECRETARY / TREASURER
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Name | KEYHAN F ARYAH
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Credential | M.D.
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Telephone | 541-484-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 07-1525
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License Number State | OR
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