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General NPI Number Information
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NPI Number | 1366771172
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Entity Type | Individual
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Provider Name | GERALD LLOYD SCHAFFNER MAMFT, LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 21210 NW MAUZEY RD
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City | HILLSBORO
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State | OR
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Zip | 97124-9327
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Country | US
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Telephone | 503-439-9531
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Fax | 503-531-3841
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Provider Business Mailing Address
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Address Line | P.O. BOX 82819
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City | PORTLAND
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State | OR
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Zip | 97282-0819
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Country | US
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Telephone | 503-233-5405
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Fax | 503-233-2694
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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 | TO494
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License Number State | OR
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