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General NPI Number Information
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NPI Number | 1770689317
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Entity Type | Individual
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Provider Name | LOREN S MELTZER JD,LPC,CADC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 1150 DORIS AVE SE
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City | SALEM
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State | OR
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Zip | 97302-1707
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Country | US
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Telephone | 503-302-4126
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Fax | 971-600-9015
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Provider Business Mailing Address
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Address Line | 1150 DORIS AVE SE
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City | SALEM
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State | OR
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Zip | 97302-1707
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Country | US
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Telephone | 503-302-4126
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Fax | 971-600-9015
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00-03-28
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License Number State | OR
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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 | C1512
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License Number State | OR
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