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NPI 1649118415

NPI 1649118415 : RICHARD AUSTIN TURNER : LA GRANDE, OR

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General NPI Number Information
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    NPI Number           |    1649118415
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD AUSTIN TURNER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2026
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    Last Update Date     |    03/23/2026
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Provider Practice Location Address
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    Address Line         |    1502 WALNUT ST 
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    City                 |    LA GRANDE
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    State                |    OR
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    Zip                  |    97850-1439
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    Country              |    US
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    Telephone            |    503-896-1481
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7108 S KANNER HWY 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34997-7462
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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    |    
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    ABA-IN-10269117
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    License Number State |    OR
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