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General NPI Number Information
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NPI Number | 1073341657
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Entity Type | Individual
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Provider Name | CHAVIVA GREENBERG MSW CSWA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1221 SW YAMHILL ST STE 301
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City | PORTLAND
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State | OR
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Zip | 97205-2110
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Country | US
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Telephone | 503-226-7079
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Fax |
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Provider Business Mailing Address
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Address Line | 3640 SW DAKOTA ST
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City | PORTLAND
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State | OR
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Zip | 97221-3327
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Country | US
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Telephone | 646-378-8471
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | A14659
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License Number State | OR
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