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General NPI Number Information
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NPI Number | 1891830949
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Entity Type | Individual
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Provider Name | AMY NOEL BADER N.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2304 E BURNSIDE ST STE 101
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City | PORTLAND
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State | OR
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Zip | 97214-1689
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Country | US
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Telephone | 503-236-6006
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Fax | 503-232-3436
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Provider Business Mailing Address
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Address Line | 7025 NE 22ND AVE
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City | PORTLAND
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State | OR
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Zip | 97211-5246
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Country | US
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Telephone | 503-247-8110
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Fax | 503-232-3436
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1044
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License Number State | OR
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