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General NPI Number Information
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NPI Number | 1750620217
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Entity Type | Individual
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Provider Name | DONNA PRINZMETAL MA., LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 7929 SW 37TH AVE STE C
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City | PORTLAND
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State | OR
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Zip | 97219-3663
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Country | US
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Telephone | 503-201-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 SW 33RD DR
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City | PORTLAND
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State | OR
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Zip | 97239-1121
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Country | US
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Telephone | 503-201-8865
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T0343
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License Number State | OR
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