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General NPI Number Information
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NPI Number | 1699130757
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Entity Type | Organization
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Legal Business Name | SAMARITAN NORTH LINCOLN HOSPITAL
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 3011 NE WEST DEVILS LAKE RD
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City | LINCOLN CITY
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State | OR
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Zip | 97367-5131
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Country | US
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Telephone | 541-994-2222
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Fax | 541-996-5601
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Provider Business Mailing Address
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Address Line | 3011 NE WEST DEVILS LAKE RD
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City | LINCOLN CITY
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State | OR
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Zip | 97367-5131
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Country | US
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Telephone | 541-994-2222
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Fax | 541-996-5601
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Authorized Official
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Title or Position | CEO
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Name | LESLEY J. OGDEN
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Credential | MD
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Telephone | 541-996-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 14-1456
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License Number State | OR
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