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General NPI Number Information
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NPI Number | 1659515534
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Entity Type | Individual
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Provider Name | NATALIE PAIGE-MOORE EISBACH PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 1585 NW 59TH ST
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City | REDMOND
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State | OR
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Zip | 97756
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Country | US
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Telephone | 541-389-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 642 NE 3RD ST
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City | BEND
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State | OR
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Zip | 97701-4702
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Country | US
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Telephone | 541-312-6486
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0015004
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P5315
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License Number State | ID
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