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General NPI Number Information
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NPI Number | 1568474575
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Entity Type | Individual
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Provider Name | ARIELLE SOHYON MIN ARNP MS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 3180 CENTER ST. NE
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City | SALEM
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State | OR
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Zip | 97302
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Country | US
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Telephone | 503-585-5351
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Fax | 503-585-4908
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Provider Business Mailing Address
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Address Line | 3180 CENTER ST. NE
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City | SALEM
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State | OR
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Zip | 97302
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Country | US
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Telephone | 503-585-5351
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Fax | 503-585-4908
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 081000541N6
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License Number State | OR
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