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General NPI Number Information
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NPI Number | 1639073422
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Entity Type | Organization
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Legal Business Name | LITTLE MEDICINE RANCH LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 701 NW ARIZONA AVE STE 200
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City | BEND
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State | OR
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Zip | 97703-3298
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Country | US
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Telephone | 458-281-5241
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Fax | 541-559-3860
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Provider Business Mailing Address
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Address Line | 701 NW ARIZONA AVE STE 200
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City | BEND
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State | OR
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Zip | 97703-3298
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Country | US
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Telephone | 458-281-5241
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Fax | 541-559-3860
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEKSANDER ROBLES
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Credential | MD
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Telephone | 406-334-4091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State | NULL
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