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General NPI Number Information
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NPI Number | 1447345152
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Entity Type | Organization
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Legal Business Name | MCMINNVILLE EAR NOSE & THROAT
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 2700 SE STRATUS AVE SUITE 401
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City | MCMINNVILLE
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State | OR
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Zip | 97128-6258
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Country | US
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Telephone | 503-472-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 SE STRATUS AVE SUITE 401
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City | MCMINNVILLE
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State | OR
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Zip | 97128-6258
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Country | US
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Telephone | 503-472-7621
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Fax | 503-434-9761
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN W TOPPING IX
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Credential | MD
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Telephone | 503-472-7621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | HAS-P-937302
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 21518
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD19690
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License Number State | OR
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