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General NPI Number Information
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NPI Number | 1326341587
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Entity Type | Organization
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Legal Business Name | RANDALL E CURRIER MD PC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 1833 NEBRASKA AVE
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City | GRANTS PASS
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State | OR
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Zip | 97527-5701
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Country | US
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Telephone | 541-474-4503
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Fax | 541-474-4502
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Provider Business Mailing Address
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Address Line | 1833 NEBRASKA AVE
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City | GRANTS PASS
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State | OR
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Zip | 97527-5701
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Country | US
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Telephone | 541-474-4503
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Fax | 541-474-4502
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Authorized Official
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Title or Position | CEO
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Name | RANDALL EUGENE CURRIER
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Credential | MD
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Telephone | 541-474-4503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD15574
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License Number State | OR
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