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General NPI Number Information
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NPI Number | 1780174896
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Entity Type | Individual
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Provider Name | MAUREEN BARTELS RN
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 2073 OLYMPIC ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3413
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Country | US
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Telephone | 541-682-7453
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Fax |
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Provider Business Mailing Address
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Address Line | 1863 PIONEER PKWY E # 429
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City | SPRINGFIELD
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State | OR
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Zip | 97477-3907
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Country | US
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Telephone | 661-965-0874
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 201600176RN
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License Number State | OR
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