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General NPI Number Information
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NPI Number | 1437516119
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Entity Type | Individual
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Provider Name | DORI A ADRAGNA PHD, EDS
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 1550 E NIAGARA ROAD
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City | MONTROSE
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State | CO
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Zip | 81401-5027
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Country | US
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Telephone | 970-497-4921
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Fax | 970-701-4161
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Provider Business Mailing Address
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Address Line | 1550 E. NIAGARA ROAD
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City | MONTROSE
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State | CO
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Zip | 81401-5027
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Country | US
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Telephone | 970-497-4921
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Fax | 970-701-4161
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY.0004594
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | NLC.0104881
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License Number State | CO
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