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General NPI Number Information
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NPI Number | 1851784250
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Entity Type | Organization
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Legal Business Name | KUMAR THERAPY
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 3050 SE DIVISION ST. SUITE 260
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City | PORTLAND
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State | OR
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Zip | 97202-1451
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Country | US
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Telephone | 971-277-1027
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 SE DIVISION ST. SUITE 260
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City | PORTLAND
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State | OR
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Zip | 97202-1451
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Country | US
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Telephone | 971-277-1027
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | SANDEEP KUMAR
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Credential | LPC
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Telephone | 971-277-1027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C3405
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License Number State | OR
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