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General NPI Number Information
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NPI Number | 1568059707
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Entity Type | Organization
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Legal Business Name | SALEM HEALTH
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 1000 SE UGLOW AVE
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City | DALLAS
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State | OR
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Zip | 97338-2645
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Country | US
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Telephone | 503-623-8376
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SE UGLOW AVE
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City | DALLAS
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State | OR
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Zip | 97338-2645
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | CHERYL ROSE WOLFE
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Credential |
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Telephone | 503-814-1938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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