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NPI 1790277564

NPI 1790277564 : ERIKA N AVGI : SALEM, OR

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General NPI Number Information
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    NPI Number           |    1790277564
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA N AVGI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2018
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    Last Update Date     |    01/12/2026
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Provider Practice Location Address
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    Address Line         |    821 SAGINAW ST S 
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    City                 |    SALEM
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    State                |    OR
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    Zip                  |    97302-4121
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    Country              |    US
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    Telephone            |    503-315-8646
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    843 NE PINE ST 
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    City                 |    SUBLIMITY
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    State                |    OR
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    Zip                  |    97385-9656
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    Country              |    US
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    Telephone            |    503-984-8292
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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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