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General NPI Number Information
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NPI Number | 1205535192
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Entity Type | Individual
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Provider Name | ANDREA NEGRON LSW, CSWA
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Gender | Female
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 33931 RIVER VIEW DR
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City | HERMISTON
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State | OR
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Zip | 97838-7303
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Country | US
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Telephone | 808-464-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 33931 RIVER VIEW DR
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City | HERMISTON
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State | OR
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Zip | 97838-7303
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Country | US
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Telephone | 808-464-1744
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW3055
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | A15653
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License Number State | OR
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