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General NPI Number Information
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NPI Number | 1437214293
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Entity Type | Individual
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Provider Name | DIANE L. CAGLE RN
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3180 CENTER ST NE
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City | SALEM
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State | OR
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Zip | 97301-4532
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Country | US
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Telephone | 503-362-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 669 SW ROBB ST
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City | DALLAS
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State | OR
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Zip | 97338-1904
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Country | US
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Telephone | 503-623-6779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number |
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License Number State | OR
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