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General NPI Number Information
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NPI Number | 1376788729
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Entity Type | Organization
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Legal Business Name | TOTAL RESULTS LLC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 251 NE GARDEN VALLEY BLVD SUITE I
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City | ROSEBURG
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State | OR
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Zip | 97470-1498
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Country | US
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Telephone | 541-580-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 251 NE GARDEN VALLEY BLVD SUITE I
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City | ROSEBURG
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State | OR
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Zip | 97470-1498
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Country | US
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Telephone | 541-580-0569
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Fax |
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Authorized Official
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Title or Position | OWNER/TEACHER
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Name | MRS. ARLENE J MACDONALD
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Credential | AA, BS
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Telephone | 541-580-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 08-06-90
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License Number State | OR
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