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General NPI Number Information
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NPI Number | 1063251122
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Entity Type | Individual
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Provider Name | MAUREEN MARIE NELSON MA IN COUNSELING
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 7929 SW CIRRUS DR # 23
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City | BEAVERTON
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State | OR
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Zip | 97008-5971
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Country | US
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Telephone | 503-382-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 14010 SW STEEPLECHASE CT
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City | BEAVERTON
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State | OR
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Zip | 97008-0418
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Country | US
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Telephone | 503-382-9210
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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 |
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License Number State | OR
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