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General NPI Number Information
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NPI Number | 1548144413
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Entity Type | Individual
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Provider Name | CAROLINE KILAGHBIAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 21900 WILLAMETTE DR STE 202
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City | WEST LINN
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State | OR
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Zip | 97068-3284
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Country | US
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Telephone | 503-653-0631
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Fax |
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Provider Business Mailing Address
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Address Line | 721 NW 352ND CIR
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City | LA CENTER
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State | WA
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Zip | 98629-3147
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Country | US
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Telephone | 818-618-6721
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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