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General NPI Number Information
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NPI Number | 1578892386
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Entity Type | Organization
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Legal Business Name | JOSEPH RHINEWINE, PHD, PC
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 522 SW 5TH AVE STE 725
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City | PORTLAND
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State | OR
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Zip | 97204-2133
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Country | US
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Telephone | 503-222-2361
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Fax | 503-222-2395
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Provider Business Mailing Address
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Address Line | 522 SW 5TH AVE STE 725
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City | PORTLAND
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State | OR
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Zip | 97204-2133
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Country | US
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Telephone | 503-222-2361
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Fax | 503-222-2395
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH RHINEWINE
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Credential | PHD
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Telephone | 503-222-2361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4549
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1754
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License Number State | OR
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