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General NPI Number Information
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NPI Number | 1144030057
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Entity Type | Individual
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Provider Name | AKILAH A SIMPSON
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1340 SW BERTHA BLVD STE 201
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City | PORTLAND
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State | OR
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Zip | 97219-2099
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Country | US
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Telephone | 503-308-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 NE 44TH WAY
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City | VANCOUVER
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State | WA
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Zip | 98661-3366
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Country | US
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Telephone | 503-956-2790
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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