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NPI Code Detail

MEDICARE: ALISON L DOLL MS/PCC-S

MEDICARE: ALISON L DOLL MS/PCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE 0500047OH

General Provider Information

NPI Number : 1881948602
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON L DOLL MS/PCC-S
Provider Business Mailing Address
First Line : 2745 S SMITHVILLE RD
Second Line :
City : DAYTON
State : OH
Zip : 45420-2668
Country : US
Telephone Number : 937-258-4245
Fax Number : 937-258-4261
Provider Business Practice Location Address
First Line : 2745 S SMITHVILLE RD
Second Line :
City : DAYTON
State : OH
Zip : 45420-2668
Country : US
Telephone Number : 937-258-4245
Fax Number : 937-258-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2012
Last Update Date : 10/31/2012

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