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General NPI Number Information
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NPI Number | 1811760663
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Entity Type | Organization
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Legal Business Name | BECOMING THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 13436 SE BUSH ST APT A2
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City | PORTLAND
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State | OR
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Zip | 97236-3378
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Country | US
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Telephone | 503-890-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 3925 NE 10TH AVE
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City | PORTLAND
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State | OR
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Zip | 97212-1222
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Country | US
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Telephone | 503-890-1198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. APRIL CHAREE TAYLOR
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Credential | MSW, CSWA
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Telephone | 503-890-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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