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General NPI Number Information
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NPI Number | 1295189496
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Entity Type | Individual
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Provider Name | CELINE K DOLEZEL LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 435 NEW KARNER RD
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City | ALBANY
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State | NY
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Zip | 12205-3867
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Country | US
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Telephone | 518-456-2060
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Fax | 518-456-2361
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Provider Business Mailing Address
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Address Line | 435 NEW KARNER RD
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City | ALBANY
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State | NY
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Zip | 12205-3867
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Country | US
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Telephone | 518-456-2060
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Fax | 518-456-2361
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 008534-1
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License Number State | NY
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