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General NPI Number Information
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NPI Number | 1396068037
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SERVICES, INC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 14 COTTAGE ST
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City | MEDFORD
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State | OR
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Zip | 97504-7332
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Country | US
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Telephone | 541-621-0303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1251
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City | ASHLAND
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State | OR
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Zip | 97520-0042
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Country | US
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Telephone | 541-621-0303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA STEVENS
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Credential |
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Telephone | 541-621-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L3977
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License Number State | OR
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