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General NPI Number Information
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NPI Number | 1134378227
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Entity Type | Individual
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Provider Name | AMY AADLAND PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 7507 NE 51ST ST
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City | VANCOUVER
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State | WA
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Zip | 98662-6007
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Country | US
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Telephone | 360-906-1190
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Fax | 360-906-1193
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Provider Business Mailing Address
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Address Line | PO BOX 82819
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City | PORTLAND
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State | OR
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Zip | 97282-0819
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Country | US
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Telephone | 503-772-3517
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60199791
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License Number State | WA
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