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General NPI Number Information
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NPI Number | 1225027881
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Entity Type | Individual
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Provider Name | ALFRED CHARLES DODINI PH.D, LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1592 QUAIL GLEN CT
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 480-390-1291
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Fax |
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Provider Business Mailing Address
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Address Line | 1592 QUAIL GLEN CT
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City | CARMEL
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State | IN
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Zip | 46032-3453
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Country | US
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Telephone | 480-390-1291
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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 | 34004605A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 331357-3501
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-17008
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License Number State | AZ
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