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General NPI Number Information
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NPI Number | 1750534780
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Entity Type | Individual
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Provider Name | DORICE NEIR L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 1250 E COUNTY LINE RD SUITE 4C
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1004
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Country | US
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Telephone | 317-910-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 E COUNTY LINE RD SUITE 4C
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1004
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Country | US
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Telephone | 317-910-9901
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39001992A
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License Number State | IN
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