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General NPI Number Information
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NPI Number | 1891099933
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Entity Type | Organization
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Legal Business Name | ST. CHARLES HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 2042 NE WILLIAMSON CT
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City | BEND
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State | OR
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Zip | 97701-3760
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Country | US
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Telephone | 541-383-6905
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Fax | 541-383-6906
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Provider Business Mailing Address
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Address Line | PO BOX 1420
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City | REDMOND
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State | OR
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Zip | 97756-0400
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Country | US
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Telephone | 541-526-6556
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Fax | 541-706-3765
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Authorized Official
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Title or Position | SR VP FINANCE / CFO
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Name | KAREN M SHEPARD
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Credential |
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Telephone | 541-706-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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