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General NPI Number Information
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NPI Number | 1801349592
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Entity Type | Individual
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Provider Name | ANN HERRERA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3377 RIVERBEND DR
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City | SPRINGFIELD
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State | OR
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Zip | 97477-8803
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Country | US
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Telephone | 541-222-6160
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Fax | 541-222-6166
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Provider Business Mailing Address
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Address Line | 1170 PEARL ST
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City | EUGENE
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State | OR
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Zip | 97401-3541
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Country | US
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Telephone | 541-743-4340
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Fax | 541-743-4369
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L11275
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License Number State | OR
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