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General NPI Number Information
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NPI Number | 1104169861
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Entity Type | Organization
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Legal Business Name | SHELLEY BERGER DOOLEY PC
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 11000 N SCOTTSDALE RD SUITE 163
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6130
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Country | US
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Telephone | 602-686-0147
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 N SCOTTSDALE RD SUITE 163
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6130
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Country | US
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Telephone | 602-686-0147
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | SHELLEY B. DOOLEY
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Credential | NP
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Telephone | 602-686-0147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | RN-034823
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License Number State | AZ
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