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General NPI Number Information
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NPI Number | 1508243163
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Entity Type | Individual
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Provider Name | ALISHA DOZIER LCSW 112617
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Gender | Female
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 1140 RAILROAD ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2532
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Country | US
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Telephone | 805-835-2078
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Fax |
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Provider Business Mailing Address
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Address Line | 8320 SHIRDON PLACE
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City | PASO ROBLES
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State | CA
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Zip | 93446
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Country | US
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Telephone | 805-835-2078
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | RI-D1407142045
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW-97249
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112617
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License Number State | CA
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