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General NPI Number Information
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NPI Number | 1346440070
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Entity Type | Individual
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Provider Name | ERIC F. NIELSON M.A.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 2100 SE LAKE RD SUITE 4
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City | MILWAUKIE
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State | OR
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Zip | 97222-7759
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Country | US
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Telephone | 503-939-9024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1541
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City | ESTACADA
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State | OR
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Zip | 97023-1541
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Country | US
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Telephone | 503-939-9024
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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