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General NPI Number Information
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NPI Number | 1639155773
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Entity Type | Individual
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Provider Name | THOMAS A ONSTAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 923 COUNTRY CLUB RD SUITE 100
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City | EUGENE
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State | OR
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Zip | 97401-2296
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Country | US
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Telephone | 541-343-1629
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Fax | 541-485-5944
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Provider Business Mailing Address
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Address Line | 923 COUNTRY CLUB RD SUITE 100
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City | EUGENE
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State | OR
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Zip | 97401-2296
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Country | US
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Telephone | 541-343-1629
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Fax | 541-485-5944
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD07372
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License Number State | OR
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