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General NPI Number Information
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NPI Number | 1811930175
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Entity Type | Organization
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Legal Business Name | VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/19/2023
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Provider Practice Location Address
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Address Line | 1151 N ADAIR ST
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City | CORNELIUS
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State | OR
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Zip | 97113-8900
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Country | US
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Telephone | 503-352-8552
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Fax | 503-352-8554
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Provider Business Mailing Address
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Address Line | PO BOX 6149
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City | ALOHA
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State | OR
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Zip | 97007-0149
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Country | US
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Telephone | 503-352-8553
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Fax | 503-352-8554
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | APRIL ETHERIDGE HIGDON
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Credential |
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Telephone | 503-352-8553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | RP0002045
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License Number State | OR
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