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General NPI Number Information
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NPI Number | 1265067110
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Entity Type | Organization
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Legal Business Name | ASTRID WOLF-O'HERN LMFT
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 272 W 11TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-3031
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Country | US
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Telephone | 603-267-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 984 LINCOLN ST
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City | EUGENE
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State | OR
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Zip | 97401-2829
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Country | US
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Telephone | 603-267-4811
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ASTRID EVA WOLF-O'HERN
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Credential |
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Telephone | 603-267-4811
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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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