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General NPI Number Information
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NPI Number | 1427273614
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Entity Type | Organization
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Legal Business Name | ROSE LINN CARE CENTER
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Dates
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Enumeration Date | 04/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2330 DEBOK RD
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City | WEST LINN
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State | OR
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Zip | 97068-3902
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Country | US
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Telephone | 503-655-0474
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 DEBOK RD
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City | WEST LINN
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State | OR
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Zip | 97068-3902
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Country | US
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Telephone | 503-655-0474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANICE ROSE HILL
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Credential |
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Telephone | 503-655-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 38E018
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License Number State | OR
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