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General NPI Number Information
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NPI Number | 1891101184
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Entity Type | Individual
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Provider Name | ALEKSANDAR TODOROVIC R.PH., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 30 E OAK ST
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City | LEBANON
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State | OR
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Zip | 97355-3222
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Country | US
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Telephone | 541-451-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 777 NW KINGS BLVD
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City | CORVALLIS
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State | OR
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Zip | 97330-5620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH0014030
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0014030
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License Number State | OR
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