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General NPI Number Information
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NPI Number | 1447848809
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Entity Type | Individual
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Provider Name | ANTONETTE N HUFF LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/01/2021
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 650 S GAINES ST APT 1608
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City | PORTLAND
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State | OR
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Zip | 97239-4769
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Country | US
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Telephone | 706-289-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 650 S GAINES ST APT 1608
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City | PORTLAND
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State | OR
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Zip | 97239-4769
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Country | US
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Telephone | 706-289-5800
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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 | SWB-2022-0476
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.0992737
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW21314
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW006580
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L15493
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License Number State | OR
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