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General NPI Number Information
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NPI Number | 1972865970
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Entity Type | Individual
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Provider Name | TERRY IRENE RAINWATER
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Gender | Female
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 73265 CONFEDERATED WAY
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City | PENDLETON
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State | OR
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Zip | 97801-0160
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Country | US
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Telephone | 541-966-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 510 NORTH 4TH
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City | PENDLETON
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State | OR
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Zip | 97801
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Country | US
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Telephone | 541-278-7537
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LCPC2289
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License Number State | MT
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