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General NPI Number Information
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NPI Number | 1245090646
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Entity Type | Organization
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Legal Business Name | COMPASS AND CIRCLE LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 880 LIBERTY ST NE
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City | SALEM
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State | OR
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Zip | 97301-2450
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Country | US
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Telephone | 971-453-3430
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Fax | 503-400-3058
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Provider Business Mailing Address
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Address Line | 4662 JADE ST NE
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City | SALEM
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State | OR
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Zip | 97305-3134
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Country | US
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Telephone | 971-453-3430
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Fax | 503-400-3058
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Authorized Official
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Title or Position | MANAGER
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Name | HEATHER DAUGHERTY
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Credential | CADC II
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Telephone | 971-453-3430
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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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