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General NPI Number Information
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NPI Number | 1376143057
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Entity Type | Individual
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Provider Name | PAUL ATTENGONG NKEMONTOH
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Gender | Male
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3440 E MAIN ST
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City | HILLSBORO
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State | OR
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Zip | 97123-7168
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Country | US
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Telephone | 971-808-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 13550 SW POMMEL CT
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City | BEAVERTON
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State | OR
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Zip | 97008-7230
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Country | US
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Telephone | 503-680-8277
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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