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General NPI Number Information
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NPI Number | 1073400081
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Entity Type | Individual
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Provider Name | CODY ANN HALL MSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 5291 NE ELAM YOUNG PKWY STE 160
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City | HILLSBORO
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State | OR
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Zip | 97124-7560
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Country | US
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Telephone | 503-372-5147
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Fax | 503-266-8632
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Provider Business Mailing Address
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Address Line | 113 N ELM ST
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City | CANBY
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State | OR
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Zip | 97013-3519
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | OR
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