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General NPI Number Information
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NPI Number | 1851574404
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Entity Type | Individual
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Provider Name | LONNY WEBB
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Gender | Male
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 1294 14TH ST
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City | WEST LINN
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State | OR
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Zip | 97068-4529
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Country | US
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Telephone | 503-803-9361
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 107
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City | MARYLHURST
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State | OR
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Zip | 97036-0107
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Country | US
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Telephone | 503-803-9361
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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 | 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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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