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General NPI Number Information
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NPI Number | 1518074327
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Entity Type | Individual
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Provider Name | JANICE K MONROE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 910 SW HWY 97 SUITE 101
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City | MADRAS
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State | OR
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Zip | 97741
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Country | US
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Telephone | 541-475-7800
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Fax | 541-475-6600
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Provider Business Mailing Address
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Address Line | 910 SW HWY 97 SUITE 101
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City | MADRAS
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State | OR
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Zip | 97741
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Country | US
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Telephone | 541-454-2888
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Fax | 541-454-2988
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 087003014
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License Number State | OR
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