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General NPI Number Information
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NPI Number | 1285202085
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Entity Type | Organization
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Legal Business Name | OLIVIA TORRES SPRAUER PSYD LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 1530 N BLANDENA ST
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City | PORTLAND
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State | OR
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Zip | 97217-3320
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Country | US
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Telephone | 503-773-4140
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Fax | 503-427-7884
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Provider Business Mailing Address
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Address Line | 1530 N BLANDENA ST
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City | PORTLAND
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State | OR
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Zip | 97217-3320
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Country | US
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Telephone | 503-773-4140
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Fax | 503-427-7884
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Authorized Official
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Title or Position | PSYCHOLOGIST/BUSINESS OWNER
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Name | DR. OLIVIA TORRES SPRAUER
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Credential | PSYD
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Telephone | 503-773-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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