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General NPI Number Information
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NPI Number | 1912940396
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Entity Type | Organization
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Legal Business Name | MID-VALLEY HEALTHCARE INC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 100 MULLINS DR STE C
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City | LEBANON
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State | OR
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Zip | 97355-3982
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Country | US
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Telephone | 541-451-7460
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Fax | 541-451-7454
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Provider Business Mailing Address
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Address Line | 100 MULLINS DRIVE, SUITE C
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City | LEBANON
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State | OR
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Zip | 97355-2868
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Country | US
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Telephone | 541-451-7460
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Fax | 541-451-7454
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH M CAHILL III
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Credential |
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Telephone | 541-557-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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