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General NPI Number Information
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NPI Number | 1487014932
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Entity Type | Organization
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Legal Business Name | ESSENTIAL QUALITY CARE LLC
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 5128 NE 42ND AVE
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City | PORTLAND
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State | OR
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Zip | 97218-1506
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Country | US
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Telephone | 503-753-8551
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Fax |
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Provider Business Mailing Address
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Address Line | 5128 NE 42ND AVE
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City | PORTLAND
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State | OR
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Zip | 97218-1506
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Country | US
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Telephone | 503-753-8551
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Fax |
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | DR. FRANCIS DJORGEE
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Credential | PHARMD
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Telephone | 503-753-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 15-2310
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License Number State | OR
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