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General NPI Number Information
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NPI Number | 1710028220
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Entity Type | Individual
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Provider Name | DORIS DODSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 400 LOCUST AVE STE 4
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4858
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Country | US
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Telephone | 855-284-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 SE 199TH AVE
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City | CAMAS
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State | WA
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Zip | 98607-9585
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Country | US
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Telephone | 360-817-2580
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00008670
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License Number State | WA
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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 | L3727
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License Number State | OR
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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 | 090400250
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904004250
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License Number State | VA
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