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General NPI Number Information
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NPI Number | 1063792984
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Entity Type | Individual
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Provider Name | TRACY HELENE KLEIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 7515 FALCON CREST DR # 200
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City | REDMOND
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State | OR
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Zip | 97756-5014
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Country | US
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Telephone | 541-904-5216
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Fax | 541-527-4347
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Provider Business Mailing Address
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Address Line | 7515 FALCON CREST DR # 200
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City | REDMOND
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State | OR
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Zip | 97756-5014
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Country | US
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Telephone | 541-904-5216
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Fax | 541-527-4347
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW2945
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015521
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L16041
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License Number State | OR
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