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General NPI Number Information
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NPI Number | 1003779059
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Entity Type | Individual
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Provider Name | KATRINA RENEE DORSEY
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Gender | Female
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 444 W OCEAN BLVD STE 800
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City | LONG BEACH
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State | CA
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Zip | 90802-4529
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Country | US
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Telephone | 562-682-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 19124 RADLETT AVE
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City | CARSON
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State | CA
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Zip | 90746-2682
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Country | US
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Telephone | 323-552-4814
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW131694
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License Number State | CA
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