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General NPI Number Information
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NPI Number | 1528498334
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Entity Type | Organization
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Legal Business Name | DEBORAH J DOXSEE, PHD LLC
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 28 N 8TH ST STE 300
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City | COLUMBIA
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State | MO
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Zip | 65201-7708
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Country | US
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Telephone | 573-474-1877
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Fax | 573-474-1892
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Provider Business Mailing Address
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Address Line | 28 N 8TH ST STE 300
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City | COLUMBIA
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State | MO
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Zip | 65201-7708
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Country | US
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Telephone | 573-474-1877
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Fax | 573-474-1892
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DEBORAH J DOXSEE
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Credential | PHD
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Telephone | 573-474-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2000174615
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License Number State | MO
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