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General NPI Number Information
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NPI Number | 1508250762
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Entity Type | Organization
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Legal Business Name | WEST LINN CARE CTR OPERATING CO, LLC
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 2330 DEOK RD.
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City | WEST LINN
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State | OR
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Zip | 97068-3902
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Country | US
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Telephone | 503-210-4749
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Fax | 503-210-4051
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Provider Business Mailing Address
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Address Line | 2330 DEBOK RD
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City | WEST LINN
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State | OR
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Zip | 97068-3902
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Country | US
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Telephone | 503-210-4749
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Fax | 503-210-4051
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | SUSAN D TURNER
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Credential |
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Telephone | 503-210-4749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1687688171
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License Number State | OR
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