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General NPI Number Information
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NPI Number | 1518512938
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Entity Type | Organization
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Legal Business Name | ROSEANNE PIKUL, LMFT, LLC
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 880 LIBERTY ST NE STE 102
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City | SALEM
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State | OR
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Zip | 97301-2450
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Country | US
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Telephone | 971-599-1383
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Fax | 503-966-1003
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Provider Business Mailing Address
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Address Line | 5747 KAREN LYNN LOOP S
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City | SALEM
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State | OR
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Zip | 97306-3200
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Country | US
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Telephone | 510-590-6108
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Fax | 503-966-1003
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. ROSEANNE PIKUL
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Credential | LMFT
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Telephone | 971-599-1383
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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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