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General NPI Number Information
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NPI Number | 1932468386
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Entity Type | Organization
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Legal Business Name | NANCY A. MACY, WHCNP, PC
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 308 VILLA RD 115
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City | NEWBERG
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State | OR
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Zip | 97132-1881
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Country | US
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Telephone | 503-476-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 901 BRUTSCHER ST D-378
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City | NEWBERG
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State | OR
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Zip | 97132-6096
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Country | US
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Telephone | 503-476-8900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY A MACY
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Credential | WHCNP
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Telephone | 503-476-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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