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General NPI Number Information
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NPI Number | 1336964915
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Entity Type | Individual
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Provider Name | JENNIFER DOIDGE MA/CAGS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 850 HUNGERFORD DR RM 50
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City | ROCKVILLE
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State | MD
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Zip | 20850-1718
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Country | US
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Telephone | 203-246-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 3986 RYE LN
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City | MONROVIA
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State | MD
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Zip | 21770-8922
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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