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General NPI Number Information
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NPI Number | 1306330394
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Entity Type | Individual
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Provider Name | RICHARD HALPERN M.A.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 10211 SW BARBUR BLVD STE 105A
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City | PORTLAND
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State | OR
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Zip | 97219-5934
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Country | US
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Telephone | 541-490-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 SW DICKINSON ST APT 7
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City | PORTLAND
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State | OR
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Zip | 97219-0901
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Country | US
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Telephone | 541-490-1551
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 340097E
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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