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General NPI Number Information
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NPI Number | 1902036320
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Entity Type | Organization
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Legal Business Name | JAMES A. AUERBACH, M.D., P.C.
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 4747 SKYLINE RD S SUITE 190
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City | SALEM
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State | OR
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Zip | 97306-4200
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Country | US
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Telephone | 503-363-0524
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Fax | 503-363-0542
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Provider Business Mailing Address
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Address Line | 4747 SKYLINE RD S SUITE 190
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City | SALEM
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State | OR
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Zip | 97306-4200
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Country | US
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Telephone | 503-363-0524
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Fax | 503-363-0542
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES A. AUERBACH
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Credential | M.D.
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Telephone | 503-363-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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