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General NPI Number Information
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NPI Number | 1265662134
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Entity Type | Individual
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Provider Name | JULIE RAMISCH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 260 SW MADISON AVE STE 107
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City | CORVALLIS
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State | OR
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Zip | 97333-4728
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Country | US
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Telephone | 541-557-1892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2298
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City | CORVALLIS
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State | OR
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Zip | 97339-2298
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Country | US
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Telephone | 805-570-4160
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006414
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000892
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1160
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License Number State | OR
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