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General NPI Number Information
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NPI Number | 1417269051
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Entity Type | Organization
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Legal Business Name | DR JOSEPH NERON & ASSOCIATES, INC
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 3205 SW CEDAR HILLS BLVD SUITE 9
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City | BEAVERTON
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State | OR
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Zip | 97005-1374
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Country | US
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Telephone | 503-643-4840
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Fax | 503-520-9262
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Provider Business Mailing Address
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Address Line | 3205 SW CEDAR HILLS BLVD SUITE 9
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City | BEAVERTON
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State | OR
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Zip | 97005-1374
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Country | US
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Telephone | 503-643-4840
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Fax | 503-520-9262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH DONALD NERON
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Credential | OD
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Telephone | 503-643-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3169ATI
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License Number State | OR
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