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General NPI Number Information
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NPI Number | 1235202276
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Entity Type | Individual
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Provider Name | LESLIE KIM DOEHRING PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 580 WEST CROSSVILLE ROAD SUITE 201
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City | ROSWELL
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State | GA
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Zip | 30075-2506
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Country | US
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Telephone | 678-494-0089
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Fax | 770-643-4854
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Provider Business Mailing Address
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Address Line | 580 W CROSSVILLE RD STE 201
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City | ROSWELL
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State | GA
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Zip | 30075-7511
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Country | US
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Telephone | 678-494-0089
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Fax | 615-671-9395
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2553
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License Number State | GA
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