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General NPI Number Information
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NPI Number | 1710291265
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Entity Type | Organization
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Legal Business Name | AUZINS WARRENTON LLC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 65 N HIGHWAY 101 STE C
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City | WARRENTON
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State | OR
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Zip | 97146-9313
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Country | US
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Telephone | 503-861-9421
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Fax | 503-366-4281
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Provider Business Mailing Address
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Address Line | 1725 SAINT HELENS ST
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City | SAINT HELENS
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State | OR
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Zip | 97051-1744
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Country | US
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Telephone | 503-366-4248
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Fax | 503-366-4281
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Authorized Official
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Title or Position | OWNER
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Name | NORMUND K AUZINS
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Credential | DDS
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Telephone | 503-861-9421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D8996
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License Number State | OR
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