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General NPI Number Information
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NPI Number | 1720223571
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Entity Type | Individual
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Provider Name | MICHAEL PAUL DOERFLEIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 2015 THOMAS ST.
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City | HOUSTON
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State | TX
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Zip | 77009
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Country | US
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Telephone | 713-873-4029
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Fax | 832-203-5115
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Provider Business Mailing Address
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Address Line | 5003 OAK SHADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77091
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Country | US
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Telephone | 832-203-5115
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Fax | 832-203-5115
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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 | 30466
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License Number State | TX
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