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General NPI Number Information
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NPI Number | 1689806507
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Entity Type | Organization
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Legal Business Name | BARBARA KOLLMAR LLC
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 307 E 2ND ST SUITE 130
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City | NEWBERG
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State | OR
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Zip | 97132-3076
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Country | US
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Telephone | 503-989-1534
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Fax | 503-538-1842
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Provider Business Mailing Address
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Address Line | 307 E 2ND ST SUITE 130
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City | NEWBERG
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State | OR
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Zip | 97132-3076
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Country | US
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Telephone | 503-989-1534
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Fax | 503-538-1842
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA KOLLMAR
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Credential | LCSW
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Telephone | 503-989-1534
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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 | 1672
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License Number State | OR
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