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General NPI Number Information
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NPI Number | 1922645340
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Entity Type | Individual
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Provider Name | ERIN LITTLEPAGE
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Gender | Female
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 1900 MCLOUGHLIN BLVD STE 68
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City | OREGON CITY
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State | OR
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Zip | 97045-1072
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Country | US
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Telephone | 503-387-8009
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Fax |
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Provider Business Mailing Address
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Address Line | 44001 SE HOGUE MILL RD
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City | CORBETT
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State | OR
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Zip | 97019-8759
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 121876
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License Number State | OR
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