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General NPI Number Information
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NPI Number | 1659022291
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Entity Type | Individual
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Provider Name | CELIA MARISOL PINEDA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 104 4TH AVE SW
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City | ALBANY
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State | OR
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Zip | 97321-2804
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Country | US
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Telephone | 571-382-0067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | ALBANY
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State | OR
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Zip | 97321-0031
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Country | US
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Telephone | 571-382-0067
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | T23-2252
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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