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General NPI Number Information
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NPI Number | 1932630365
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Entity Type | Organization
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Legal Business Name | PRAXIS HEALTH, PC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 147 S 52ND PL
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City | SPRINGFIELD
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State | OR
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Zip | 97478-6210
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Country | US
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Telephone | 541-746-1166
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Fax | 541-746-6736
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Provider Business Mailing Address
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Address Line | PO BOX 1517
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City | PENDLETON
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State | OR
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Zip | 97801-0410
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Country | US
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Telephone | 877-708-1119
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Fax | 541-278-8349
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | JESSICA M REAGAN
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Credential |
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Telephone | 541-966-6136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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