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General NPI Number Information
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NPI Number | 1154890887
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Entity Type | Individual
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Provider Name | BRANDI MICHELLE DORSEY LPC
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Gender | Female
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3511 SILENT GROVE RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-7913
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Country | US
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Telephone | 479-799-7473
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Fax | 888-375-4518
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Provider Business Mailing Address
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Address Line | 6987 W WHEELER RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-5744
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Country | US
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Telephone | 479-799-7473
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Fax | 888-375-4518
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2011097
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License Number State | AR
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