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General NPI Number Information
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NPI Number | 1609891035
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Entity Type | Individual
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Provider Name | GREGORY LLOYD COMBS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 1914 WILLAMETTE FALLS DR SUITE 210
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City | WEST LINN
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State | OR
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Zip | 97068-4688
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Country | US
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Telephone | 503-655-9727
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Fax | 503-655-9865
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Provider Business Mailing Address
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Address Line | 1914 WILLAMETTE FALLS DR SUITE 210
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City | WEST LINN
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State | OR
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Zip | 97068-4688
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Country | US
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Telephone | 503-655-9727
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Fax | 503-655-9865
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD15245
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | MD15245
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License Number State | OR
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