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General NPI Number Information
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NPI Number | 1831512078
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Entity Type | Organization
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Legal Business Name | OREN T H LEONG, LLC
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 1445 STATE ST
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City | SALEM
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State | OR
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Zip | 97301-4248
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Country | US
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Telephone | 503-365-3965
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Fax | 503-372-2754
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Provider Business Mailing Address
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Address Line | PO BOX 4008
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City | PORTLAND
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State | OR
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Zip | 97208-4008
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Country | US
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Telephone | 503-372-2740
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Fax | 503-372-2754
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Authorized Official
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Title or Position | OWNER
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Name | OREN T H LEONG
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Credential | MD
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Telephone | 800-516-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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