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General NPI Number Information
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NPI Number | 1144367798
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Entity Type | Individual
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Provider Name | TERRY B STEIN MS ED QMHP QMRP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 3000 MARKET STREET NE SUITE 530 OPTIONS COUNSELING
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City | SALEM
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State | OR
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Zip | 97301
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Country | US
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Telephone | 503-390-5637
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4277 1190 MORNINGSIDE DRIVE SE
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City | SALEM
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State | OR
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Zip | 97302-8277
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Country | US
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Telephone | 503-378-0050
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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