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General NPI Number Information
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NPI Number | 1528117959
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL CORVALLIS
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 3521 NW SAMARITAN DRIVE SUITE 202
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City | CORVALLIS
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State | OR
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Zip | 97330-4744
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Country | US
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Telephone | 541-768-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 3521 NW SAMARITAN DRIVE SUITE 202
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City | CORVALLIS
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State | OR
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Zip | 97330-1485
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Country | US
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Telephone | 541-768-5225
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH M. CAHILL III
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Credential |
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Telephone | 541-451-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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