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General NPI Number Information
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NPI Number | 1497435085
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Entity Type | Individual
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Provider Name | KIMBERLEE BICKLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 23839 SW DANIEL RD
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City | BEAVERTON
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State | OR
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Zip | 97078-5400
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Country | US
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Telephone | 503-806-9382
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Fax |
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Provider Business Mailing Address
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Address Line | 8740 SW WOODSIDE DR
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City | PORTLAND
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State | OR
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Zip | 97225-1744
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Country | US
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Telephone | 503-806-9382
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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 |
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License Number State |
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