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General NPI Number Information
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NPI Number | 1568911535
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Entity Type | Individual
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Provider Name | ANDREW LIND B.A PSYCHOLOGY
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Gender | Male
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 5100 SW MACADAM AVE STE 400
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City | PORTLAND
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State | OR
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Zip | 97239-3854
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Country | US
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Telephone | 503-244-5211
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Fax | 503-244-5506
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Provider Business Mailing Address
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Address Line | 15000 SW MILLIKAN WAY APT 123
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City | BEAVERTON
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State | OR
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Zip | 97003-2374
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Country | US
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Telephone | 503-819-5273
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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