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General NPI Number Information
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NPI Number | 1558766121
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Entity Type | Organization
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Legal Business Name | ANIMAL CLINIC
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Dates
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Enumeration Date | 10/25/2014
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Last Update Date | 10/25/2014
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Provider Practice Location Address
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Address Line | 185 N SANTIAM HWY
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City | LEBANON
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State | OR
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Zip | 97355-4342
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Country | US
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Telephone | 541-451-1319
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Fax | 541-451-1028
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Provider Business Mailing Address
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Address Line | 185 N SANTIAM HWY
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City | LEBANON
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State | OR
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Zip | 97355-4342
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Country | US
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Telephone | 541-451-1319
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Fax | 541-451-1028
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Authorized Official
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Title or Position | VETERINARIAN
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Name | DR. STEVEN L HIETT
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Credential | DVM
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Telephone | 541-451-1319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 4122
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License Number State | OR
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