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General NPI Number Information
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NPI Number | 1497176747
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Entity Type | Individual
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Provider Name | REBECCA LANGER CADCI
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Gender | Female
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 1312 SW WASHINGTON ST
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City | PORTLAND
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State | OR
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Zip | 97205-2327
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Country | US
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Telephone | 503-535-1180
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Fax | 503-535-1163
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Provider Business Mailing Address
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Address Line | 6820 SW DOVER ST
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City | PORTLAND
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State | OR
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Zip | 97225-1010
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Country | US
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Telephone | 503-535-1180
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Fax | 503-535-1163
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 99-07-22
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License Number State | OR
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