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General NPI Number Information
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NPI Number | 1699636902
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Entity Type | Individual
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Provider Name | NICOLE LEE DOLL LLP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 15209 W MICHIGAN AVE
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City | MARSHALL
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State | MI
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Zip | 49068-9570
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Country | US
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Telephone | 269-781-9119
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Fax | 269-780-9119
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Provider Business Mailing Address
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Address Line | 114 RIVER ST
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City | ALBION
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State | MI
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Zip | 49224-2217
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6361007871
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License Number State | MI
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