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General NPI Number Information
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NPI Number | 1326755158
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Entity Type | Organization
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Legal Business Name | ALBANY GENERAL HOSPITAL
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 534 PLEASANT VIEW WAY NW STE 300
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City | ALBANY
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State | OR
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Zip | 97321-1789
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Country | US
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Telephone | 541-812-3323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1188
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City | CORVALLIS
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State | OR
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Zip | 97339-1188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO-SAGH
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Name | DANIEL KETERI
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Credential |
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Telephone | 541-812-4102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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