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General NPI Number Information
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NPI Number | 1780802009
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Entity Type | Individual
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Provider Name | DONNA KAY HENRY BS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 182 SW ACADEMY ST SUITE 304
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City | DALLAS
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State | OR
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Zip | 97338-1922
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Country | US
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Telephone | 503-623-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 740 CONIFER PL
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City | DAYTON
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State | OR
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Zip | 97114-9634
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Country | US
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Telephone | 503-864-2884
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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