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General NPI Number Information
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NPI Number | 1164332748
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Entity Type | Individual
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Provider Name | AKANEE SIYUFY
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 11611 NE AINSWORTH CIR
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City | PORTLAND
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State | OR
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Zip | 97220-9017
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Country | US
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Telephone | 971-280-4714
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Fax |
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Provider Business Mailing Address
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Address Line | 36738 KATRINA ST
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City | SANDY
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State | OR
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Zip | 97055-7847
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Country | US
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Telephone | 253-229-5234
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 523122
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License Number State | OR
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