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General NPI Number Information
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NPI Number | 1861610073
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Entity Type | Organization
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Legal Business Name | OREGON HEARING PROFESSIONALS, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 364 N CENTRAL ST
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City | COQUILLE
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State | OR
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Zip | 97423-1244
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Country | US
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Telephone | 541-396-4283
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Fax | 541-396-7194
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Provider Business Mailing Address
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Address Line | 364 N CENTRAL ST
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City | COQUILLE
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State | OR
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Zip | 97423-1244
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Country | US
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Telephone | 541-396-4283
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Fax | 541-396-7194
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Authorized Official
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Title or Position | CORPORATE PRESIDENT
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Name | MR. RICKEY S. VATKOS
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Credential | H.A.S.-P
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Telephone | 541-396-4283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-P-916188
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License Number State | OR
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