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General NPI Number Information
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NPI Number | 1023263779
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Entity Type | Individual
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Provider Name | MARIACRISTINA ISAZA-CHAPMAN MA. LPC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 12250 SW 2ND ST SUITE 106
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City | BEAVERTON
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State | OR
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Zip | 97005-2828
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Country | US
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Telephone | 971-226-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 16360 SW CINNABAR CT BEAVERTON
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City | BEAVERTON
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State | OR
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Zip | 97007-8101
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Country | US
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Telephone | 971-226-7155
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Fax |
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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 | C2193
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License Number State | OR
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