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General NPI Number Information
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NPI Number | 1497872527
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Entity Type | Individual
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Provider Name | DOROTHY ROSE PATTERSON LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1305 SW 23RD ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-4741
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Country | US
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Telephone | 816-820-0599
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Fax | 816-220-1625
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Provider Business Mailing Address
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Address Line | 1305 SW 23RD ST
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-4741
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Country | US
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Telephone | 816-820-0599
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Fax | 816-220-1625
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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 | 003985
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License Number State | MO
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