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General NPI Number Information
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NPI Number | 1316607260
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Entity Type | Individual
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Provider Name | JILLIAN MARIE SZILAGYI LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 1130 SW MORRISON ST
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City | PORTLAND
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State | OR
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Zip | 97205-2234
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Country | US
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Telephone | 971-732-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 410 GILLES ST
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City | MOUNT ANGEL
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State | OR
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Zip | 97362-9583
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Country | US
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Telephone | 541-801-4526
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L10810
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License Number State | OR
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