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General NPI Number Information
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NPI Number | 1285847889
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Entity Type | Individual
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Provider Name | VINCENT PETER DIMONE L.P.C. , LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 21487 SW GREGORY DR
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City | BEAVERTON
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State | OR
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Zip | 97006-6449
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Country | US
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Telephone | 503-481-0374
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Fax | 503-297-7707
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Provider Business Mailing Address
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Address Line | 21487 SW GREGORY DR
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City | BEAVERTON
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State | OR
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Zip | 97006-6449
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Country | US
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Telephone | 503-481-0374
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Fax | 503-297-7707
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60012185
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00011227
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C1790
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License Number State | OR
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