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General NPI Number Information
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NPI Number | 1952741118
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Entity Type | Organization
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Legal Business Name | ONTARIO EMERGENCY SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 351 SW 9TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-2639
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Country | US
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Telephone | 541-881-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 351 SW 9TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-2639
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Country | US
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Telephone | 541-881-7000
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JASON WILHELMSEN
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Credential | MD
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Telephone | 541-881-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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