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General NPI Number Information
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NPI Number | 1861758591
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Entity Type | Individual
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Provider Name | LISA B EHRLICHMAN NP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 2428 W REYNOLDS AVE CASCADE MENTAL HEALTH
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City | CENTRALIA
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State | WA
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Zip | 98531-4554
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Country | US
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Telephone | 360-330-9044
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Fax |
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Provider Business Mailing Address
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Address Line | 29030 SW TOWN CENTER LOOP E. 202-244
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City | WILSONVILLE
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State | OR
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Zip | 97070
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP4426
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60503335
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201350072NP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 20769
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License Number State | CA
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