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General NPI Number Information
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NPI Number | 1659968162
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Entity Type | Individual
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Provider Name | WAN-CHEN WENG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 4804 NW BETHANY BLVD STE I2
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City | PORTLAND
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State | OR
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Zip | 97229-9195
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Country | US
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Telephone | 503-567-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 2589 NW ARNOTT LN
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City | PORTLAND
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State | OR
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Zip | 97229-1171
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Country | US
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Telephone | 347-420-3648
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2889
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2889
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2889
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License Number State | OR
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