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General NPI Number Information
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NPI Number | 1952639775
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Entity Type | Individual
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Provider Name | PATRICIA LYNN EDDY L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 15510 SW BELL RD STE.B
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City | SHERWOOD
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State | OR
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Zip | 97140-9033
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Country | US
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Telephone | 971-678-6706
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Fax | 360-892-5914
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Provider Business Mailing Address
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Address Line | 14180 SW STICKNEY DR
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City | HILLSBORO
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State | OR
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Zip | 97123-9053
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Country | US
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Telephone | 971-678-6706
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Fax | 360-892-5914
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C2402
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License Number State | OR
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