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General NPI Number Information
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NPI Number | 1336044650
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Entity Type | Individual
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Provider Name | BANIN AL-HADDAD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 15383 S GRAVES RD
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City | MULINO
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State | OR
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Zip | 97042-9789
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Country | US
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Telephone | 503-860-1566
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Fax | 360-210-1350
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Provider Business Mailing Address
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Address Line | 15383 S GRAVES RD
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City | MULINO
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State | OR
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Zip | 97042-9789
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Country | US
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Telephone | 503-860-1566
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Fax | 360-210-1350
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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 |
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License Number State | NULL
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