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General NPI Number Information
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NPI Number | 1932826237
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Entity Type | Organization
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Legal Business Name | CIRCLETREE GROUP
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 2914 NW ESSEX AVE
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City | ALBANY
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State | OR
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Zip | 97321-9231
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Country | US
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Telephone | 541-331-2996
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Fax |
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Provider Business Mailing Address
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Address Line | 2914 NW ESSEX AVE
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City | ALBANY
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State | OR
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Zip | 97321-9231
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Country | US
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Telephone | 541-331-2996
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Fax |
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Authorized Official
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Title or Position | ADMIN/MGMT
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Name | TAMZID SARDAR
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Credential |
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Telephone | 541-331-2996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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