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General NPI Number Information
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NPI Number | 1720978505
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Entity Type | Organization
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Legal Business Name | ALDER COLLECTIVE
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 119 W MAIN ST
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City | ENTERPRISE
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State | OR
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Zip | 97828-1241
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Country | US
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Telephone | 541-263-8738
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Fax | 949-695-3979
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Provider Business Mailing Address
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Address Line | 119 W MAIN ST
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City | ENTERPRISE
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State | OR
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Zip | 97828-1241
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Country | US
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Telephone | 541-263-8738
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Fax | 949-695-3979
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | RACHAEL KARLIN
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Credential | ND
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Telephone | 541-263-8738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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