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General NPI Number Information
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NPI Number | 1689538241
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Entity Type | Organization
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Legal Business Name | NICOLE TABOR COUNSELING LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4519 SW MASTERS LOOP APT 202
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City | ALOHA
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State | OR
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Zip | 97078-1429
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Country | US
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Telephone | 503-713-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 SW MASTERS LOOP APT 202
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City | ALOHA
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State | OR
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Zip | 97078-1429
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Country | US
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Telephone | 503-713-7583
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | NICOLE R TABOR
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Credential | LPC
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Telephone | 503-713-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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