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General NPI Number Information
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NPI Number | 1851582456
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Entity Type | Individual
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Provider Name | EMILY MURRAY LUDWIG MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 1110 SE ALDER ST STE 301
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City | PORTLAND
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State | OR
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Zip | 97214-2400
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Country | US
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Telephone | 503-446-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 37 MELISSA DR
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City | YARMOUTH
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State | ME
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Zip | 04096-7717
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Country | US
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Telephone | 503-867-4588
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CADC I # 06-11-39
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSWA # A1976
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60681238
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC21353
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW # L4072
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License Number State | OR
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