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General NPI Number Information
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NPI Number | 1861211237
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Entity Type | Organization
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Legal Business Name | YONCALLA SCHOOL DISTRICT #32
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 401 1ST ST
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City | YONCALLA
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State | OR
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Zip | 97499-7539
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Country | US
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Telephone | 541-849-2158
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 568
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City | YONCALLA
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State | OR
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Zip | 97499-0568
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Country | US
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Telephone | 541-849-2158
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Fax |
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Authorized Official
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Title or Position | DISTRICT NURSE
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Name | BETHANY DURBIN
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Credential | RN
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Telephone | 541-849-2158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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