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General NPI Number Information
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NPI Number | 1487070181
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Entity Type | Organization
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Legal Business Name | UNITED COMMUNITY ACTION NETWORK
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 280 NE KENNETH FORD DR
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City | ROSEBURG
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State | OR
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Zip | 97470-1034
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Country | US
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Telephone | 541-492-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 280 NE KENNETH FORD DR
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City | ROSEBURG
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State | OR
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Zip | 97470-1034
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Country | US
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Telephone | 541-492-3508
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MICHEAL FIELDMAN
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Credential |
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Telephone | 541-672-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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