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General NPI Number Information
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NPI Number | 1467894188
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Entity Type | Organization
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Legal Business Name | FC RANGER OPS JUNCTION CITY (OR), LLC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 500 E 6TH AVE
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City | JUNCTION CITY
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State | OR
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Zip | 97448-1557
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Country | US
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Telephone | 541-995-0278
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Fax | 541-998-3147
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Provider Business Mailing Address
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Address Line | 500 E 6TH AVE
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City | JUNCTION CITY
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State | OR
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Zip | 97448-1557
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Country | US
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Telephone | 541-995-0278
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Fax | 541-998-3147
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTINA K FIRTH
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Credential |
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Telephone | 770-754-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | OR
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