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General NPI Number Information
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NPI Number | 1477760098
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Entity Type | Individual
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Provider Name | PAUL ALAN DORES PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13135 OLD SYCAMORE DR
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City | SAN DIEGO
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State | CA
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Zip | 92128-4041
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Country | US
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Telephone | 619-884-1407
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Fax | 858-679-6610
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Provider Business Mailing Address
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Address Line | PO BOX 500602
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City | SAN DIEGO
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State | CA
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Zip | 92150-0602
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Country | US
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Telephone | 619-884-1407
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Fax | 858-679-6610
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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 | PSY11406
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License Number State | CA
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