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General NPI Number Information
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NPI Number | 1386579563
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Entity Type | Organization
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Legal Business Name | ASSURANCE MED LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 3024 WAYSIDE LOOP
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1331
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Country | US
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Telephone | 541-350-1690
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Fax |
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Provider Business Mailing Address
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Address Line | 3024 WAYSIDE LOOP
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1331
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Country | US
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Telephone | 541-350-1690
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACHARIAH MANNING
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Credential | NP
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Telephone | 541-350-1690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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