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General NPI Number Information
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NPI Number | 1508030438
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Entity Type | Individual
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Provider Name | CYNTHIA DODERO LPC, NCC, BCPC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 39109 HELENA AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-5517
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Country | US
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Telephone | 586-335-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 39109 HELENA AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-5517
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Country | US
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Telephone | 248-835-2466
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401008326
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License Number State | MI
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