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General NPI Number Information
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NPI Number | 1114189628
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Entity Type | Individual
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Provider Name | SHIRLEY ANN REED
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 1753 BENTLEY ST E
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City | MONMOUTH
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State | OR
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Zip | 97361-1783
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Country | US
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Telephone | 503-838-0385
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Fax | 503-363-2034
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Provider Business Mailing Address
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Address Line | 1753 BENTLEY ST E
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City | MONMOUTH
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State | OR
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Zip | 97361-1783
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Country | US
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Telephone | 503-838-0385
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Fax | 503-363-2034
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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 |
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License Number State |
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