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General NPI Number Information
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NPI Number | 1457554172
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Entity Type | Organization
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Legal Business Name | DOROTHEA M. WILLAND
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 503 E PLAZA CIR DR SUITE B
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4924
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Country | US
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Telephone | 623-932-0637
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Fax | 623-932-0750
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Provider Business Mailing Address
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Address Line | 503 E PLAZA CIR DR SUITE B
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-4924
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Country | US
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Telephone | 623-932-0637
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Fax | 623-932-0750
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Authorized Official
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Title or Position | MEMBER
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Name | DOROTHEA M WILLAND
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Credential | MA, LPC
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Telephone | 623-932-0637
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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 |
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License Number State |
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