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General NPI Number Information
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NPI Number | 1649989740
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Entity Type | Organization
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Legal Business Name | HOUSECALL DOC LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 9601 NW LEAHY RD APT 306
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City | PORTLAND
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State | OR
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Zip | 97229-6385
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Country | US
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Telephone | 971-258-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 9601 NW LEAHY RD APT 306
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City | PORTLAND
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State | OR
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Zip | 97229-6385
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Country | US
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Telephone | 661-400-3819
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. YOLANDA SUAREZ
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Credential | DO
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Telephone | 661-400-3819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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