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General NPI Number Information
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NPI Number | 1003961954
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Entity Type | Organization
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Legal Business Name | NAOMI STEINBERG PHD INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 1308 NW 20TH AVE STE 6
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City | PORTLAND
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State | OR
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Zip | 97209-1607
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Country | US
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Telephone | 503-459-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 NW 20TH AVE STE 6
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City | PORTLAND
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State | OR
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Zip | 97209-1607
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Country | US
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Telephone | 503-459-2242
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAOMI STEINBERG
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Credential | PH.D.
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Telephone | 503-459-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1013
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License Number State | OR
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