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General NPI Number Information
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NPI Number | 1063950715
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Entity Type | Individual
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Provider Name | AHMAR ZAMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 4110 SE HAWTHORNE BLVD # 214
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City | PORTLAND
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State | OR
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Zip | 97214-5246
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Country | US
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Telephone | 503-928-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 SE HAWTHORNE BLVD # 214
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City | PORTLAND
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State | OR
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Zip | 97214-5246
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Country | US
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Telephone |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3804
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License Number State | OR
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