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General NPI Number Information
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NPI Number | 1013920594
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Entity Type | Individual
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Provider Name | SUSAN B ZALL LPC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10224 SE DIVISION ST
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City | PORTLAND
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State | OR
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Zip | 97266-1328
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Country | US
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Telephone | 503-997-4488
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Fax | 503-257-0331
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Provider Business Mailing Address
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Address Line | PO BOX 20236
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City | PORTLAND
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State | OR
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Zip | 97294-0236
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Country | US
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Telephone | 503-997-4488
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Fax | 503-257-0331
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C1424
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License Number State | OR
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