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General NPI Number Information
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NPI Number | 1952812687
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Entity Type | Organization
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Legal Business Name | MEND CLINIC LLC
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 2936 COMMERCIAL ST SE
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City | SALEM
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State | OR
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Zip | 97302-4552
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Country | US
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Telephone | 541-207-0910
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 COMMERCIAL ST SE
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City | SALEM
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State | OR
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Zip | 97302-4552
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Country | US
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Telephone | 503-991-5344
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Fax | 971-301-8819
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Authorized Official
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Title or Position | CO-CEO
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Name | DR. PETER TSAI
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Credential | MD
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Telephone | 541-207-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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