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General NPI Number Information
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NPI Number | 1518788041
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Entity Type | Organization
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Legal Business Name | LINN-BENTON COMMUNITY COLLEGE
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 6500 PACIFIC BLVD SW # LM-132
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City | ALBANY
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State | OR
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Zip | 97321-3755
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Country | US
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Telephone | 541-917-4949
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Fax | 541-917-4325
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Provider Business Mailing Address
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Address Line | 6500 PACIFIC BLVD SW # LM-132
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City | ALBANY
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State | OR
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Zip | 97321-3755
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Country | US
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Telephone | 541-917-4949
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Fax | 541-917-4325
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Authorized Official
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Title or Position | VP OF FINANCE & OPERATIONS
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Name | P. SHELDON FLOM
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Credential |
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Telephone | 541-917-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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