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General NPI Number Information
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NPI Number | 1831902261
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Entity Type | Organization
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Legal Business Name | GROVE CARE CLINIC LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1601 E MAIN ST
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-2243
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Country | US
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Telephone | 541-780-0037
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Fax | 541-702-8784
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Provider Business Mailing Address
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Address Line | 1498 E MAIN ST STE 103 PMB 342
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-2204
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Country | US
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Telephone | 541-780-0037
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Fax | 541-702-8784
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Authorized Official
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Title or Position | OWNER
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Name | DEVON SCHNEIDER
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Credential |
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Telephone | 541-680-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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