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General NPI Number Information
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NPI Number | 1376141150
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Entity Type | Individual
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Provider Name | HILLARY LIND JEWELL
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 10 COBURG RD STE 300
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City | EUGENE
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State | OR
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Zip | 97401-7481
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Country | US
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Telephone | 541-683-3234
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Fax | 541-683-8610
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Provider Business Mailing Address
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Address Line | 1200 EXECUTIVE PKWY STE 360
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City | EUGENE
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State | OR
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Zip | 97401-2169
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Country | US
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Telephone | 541-515-0350
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Fax | 541-683-8610
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 11885
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License Number State | OR
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