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General NPI Number Information
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NPI Number | 1538226386
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Entity Type | Individual
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Provider Name | STEPHEN R. BECK LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3939 NE HANCOCK ST # 302
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City | PORTLAND
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State | OR
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Zip | 97212-5321
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Country | US
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Telephone | 503-280-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 12803 NW MCNAMEE RD
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City | PORTLAND
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State | OR
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Zip | 97231-2124
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Country | US
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Telephone | 503-280-8904
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Fax | 503-285-4975
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1320
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License Number State | OR
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