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General NPI Number Information
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NPI Number | 1467650895
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Entity Type | Individual
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Provider Name | LINDA ANN YEGGE-BRANNON MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120-C N EVEREST RD
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City | NEWBERG
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State | OR
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Zip | 97132-2116
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Country | US
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Telephone | 503-538-8952
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Fax | 503-537-2027
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Provider Business Mailing Address
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Address Line | 23175 NE HYLAND DR
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City | NEWBERG
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State | OR
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Zip | 97132-7325
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Country | US
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Telephone | 503-313-8067
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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 | L0686
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License Number State | OR
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