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General NPI Number Information
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NPI Number | 1912343989
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Entity Type | Organization
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Legal Business Name | CULP ENTERPRISES, INC.
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Dates
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Enumeration Date | 05/17/2013
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 81 CENTENNIAL LOOP STE 3
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City | EUGENE
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State | OR
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Zip | 97401-2471
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Country | US
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Telephone | 541-485-1004
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Fax | 541-342-8491
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Provider Business Mailing Address
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Address Line | 81 CENTENNIAL LOOP STE 3
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City | EUGENE
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State | OR
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Zip | 97401-2471
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Country | US
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Telephone | 541-485-1004
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Fax | 541-342-8491
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JUDITH MAY CULP
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Credential |
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Telephone | 541-485-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | BAP-FA-10155567
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License Number State | OR
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