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General NPI Number Information
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NPI Number | 1942505193
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Entity Type | Individual
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Provider Name | BETHANY FRANKLIN-COMB PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 4660 NE BELKNAP CT STE 201G
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City | HILLSBORO
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State | OR
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Zip | 97124
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Country | US
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Telephone | 503-902-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 4660 NE BELKNAP CT STE 201G
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City | HILLSBORO
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State | OR
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Zip | 97124-8405
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Country | US
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Telephone | 503-902-9088
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2384
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License Number State | OR
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