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General NPI Number Information
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NPI Number | 1437320017
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Entity Type | Organization
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Legal Business Name | OREGON EYE SURGERY CENTER, INC.
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1550 OAK ST
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City | EUGENE
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State | OR
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Zip | 97401-7701
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Country | US
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Telephone | 541-683-8771
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 OAK ST SUITE 2
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City | EUGENE
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State | OR
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Zip | 97401-7701
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Country | US
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Telephone | 541-484-4988
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KENT A KARREN
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Credential | MD
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Telephone | 541-683-8771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 07-1525
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License Number State | OR
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