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General NPI Number Information
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NPI Number | 1740250810
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Entity Type | Organization
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Legal Business Name | ST. ANTHONY HOSPITAL
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 1416 SE COURT AVE
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City | PENDLETON
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State | OR
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Zip | 97801-3215
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Country | US
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Telephone | 541-276-4100
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Fax | 541-278-6564
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Provider Business Mailing Address
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Address Line | 2801 ST ANTHONY WAY
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City | PENDLETON
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State | OR
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Zip | 97801-3800
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Country | US
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Telephone | 541-276-5121
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Fax | 541-278-6564
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAROLD S GELLER
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Credential |
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Telephone | 541-278-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 140034
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License Number State | OR
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