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General NPI Number Information
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NPI Number | 1205069432
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Entity Type | Organization
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Legal Business Name | CHRISTINE M. DOHR, LLC
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 13422 CLAYTON ROAD SUITE 219
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City | TOWN & COUNTRY
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State | MO
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Zip | 63131
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Country | US
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Telephone | 314-409-3807
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Fax |
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Provider Business Mailing Address
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Address Line | 13422 CLAYTON ROAD SUITE 219
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City | TOWN & COUNTRY
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State | MO
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Zip | 63131
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Country | US
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Telephone | 314-409-3807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE MARIE DOHR
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Credential | LPC
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Telephone | 314-409-3807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2004024702
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License Number State | MO
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