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General NPI Number Information
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NPI Number | 1497051916
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Entity Type | Individual
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Provider Name | TANUJINI ROSALIND CARLSON MA LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 6030 SE 52ND AVE STE 204
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City | PORTLAND
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State | OR
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Zip | 97206-6887
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Country | US
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Telephone | 971-402-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 9390 SW IBACH CT
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City | TUALATIN
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State | OR
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Zip | 97062-7073
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Country | US
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Telephone | 712-350-9149
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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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