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General NPI Number Information
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NPI Number | 1619864626
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Entity Type | Organization
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Legal Business Name | RURAL MEDICINE DIRECT
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2020 MILLIGAN WAY
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City | MEDFORD
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State | OR
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Zip | 97504-5894
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Country | US
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Telephone | 801-725-5789
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Fax |
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Provider Business Mailing Address
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Address Line | 5516 PALMER DR
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City | WEED
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State | CA
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Zip | 96094-9104
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Country | US
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Telephone | 801-725-5789
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER ANNE SHEALY
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Credential | NP
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Telephone | 801-725-5789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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