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General NPI Number Information
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NPI Number | 1518016724
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Entity Type | Individual
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Provider Name | DOROTHY LENA RODWELL LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 15641 NEW HAMPSHIRE CT
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City | FORT MYERS
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State | FL
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Zip | 33908-4123
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Country | US
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Telephone | 239-851-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 190 TROPICAL SHORE WAY
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-3316
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Country | US
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Telephone | 239-851-7166
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1990
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License Number State | FL
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