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General NPI Number Information
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NPI Number | 1720707144
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Entity Type | Organization
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Legal Business Name | DODD INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 644 RAY LN
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City | ASHLAND
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State | OR
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Zip | 97520-2466
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Country | US
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Telephone | 541-404-4485
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Fax | 541-225-4884
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Provider Business Mailing Address
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Address Line | 644 RAY LN
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City | ASHLAND
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State | OR
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Zip | 97520-2466
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Country | US
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Telephone | 541-404-4485
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Fax | 541-225-4884
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Authorized Official
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Title or Position | CEO
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Name | KAMARA MARIE DODD
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Credential | NURSE PRACTITIONER
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Telephone | 541-404-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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