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General NPI Number Information
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NPI Number | 1083349906
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Entity Type | Individual
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Provider Name | KADY STAFFORD LPC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2022
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 6396 SW MCVEY AVE
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City | REDMOND
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State | OR
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Zip | 97756-9069
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Country | US
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Telephone | 541-203-0307
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Fax |
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Provider Business Mailing Address
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Address Line | 13574 SW HIGHWAY 126
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City | POWELL BUTTE
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State | OR
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Zip | 97753-1541
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Country | US
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Telephone | 541-480-6360
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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 | LPC6225
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C9084
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License Number State | OR
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