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General NPI Number Information
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NPI Number | 1982607016
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Entity Type | Organization
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Legal Business Name | CITY OF PENDLETON
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 1455 SE COURT AVE
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City | PENDLETON
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State | OR
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Zip | 97801-3212
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Country | US
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Telephone | 541-276-1442
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Fax |
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Provider Business Mailing Address
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Address Line | 911 SW COURT AVE
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City | PENDLETON
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State | OR
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Zip | 97801-1912
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Country | US
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Telephone | 541-276-1442
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Fax | 541-276-9171
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Authorized Official
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Title or Position | SR ACCOUNT CLERK
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Name | KAREN HOEFT
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Credential |
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Telephone | 541-276-1442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3005-05
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License Number State | OR
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