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General NPI Number Information
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NPI Number | 1528282829
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Entity Type | Individual
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Provider Name | LAMOINE DOYLE MSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 110 W OCEAN BLVD SUITE 18
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City | LONG BEACH
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State | CA
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Zip | 90802-4605
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Country | US
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Telephone | 562-436-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 SHELLEY ST
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-6916
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Country | US
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Telephone | 310-798-5738
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS15725
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License Number State | CA
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