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General NPI Number Information
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NPI Number | 1649338989
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Entity Type | Individual
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Provider Name | MICHAEL C NEIMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 213 WATER AVE. SW SUITE 400
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City | ALBANY
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State | OR
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Zip | 97321
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Country | US
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Telephone | 541-619-2213
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Fax | 541-928-1678
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Provider Business Mailing Address
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Address Line | 213 WATER AVE NW SUITE 400
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City | ALBANY
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State | OR
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Zip | 97321-2298
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Country | US
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Telephone | 541-619-2213
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Fax | 541-928-1678
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L4537
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License Number State | OR
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