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General NPI Number Information
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NPI Number | 1093340291
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Entity Type | Individual
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Provider Name | DOROTHY LEE DRAPER MFT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2020
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Last Update Date | 03/08/2020
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Provider Practice Location Address
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Address Line | 1528 US HIGHWAY 395 N STE 215
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City | GARDNERVILLE
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State | NV
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Zip | 89410-5226
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Country | US
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Telephone | 775-742-6903
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 CAHI CIR
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City | GARDNERVILLE
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State | NV
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Zip | 89460-8027
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Country | US
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Telephone | 775-742-6903
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT2650
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License Number State | NV
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