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General NPI Number Information
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NPI Number | 1811665649
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Entity Type | Individual
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Provider Name | KENDALL CAMILLE DOYAL LPC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 423 FORTRESS BLVD
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City | MORGANTOWN
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State | WV
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Zip | 26508-1351
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Country | US
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Telephone | 304-225-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 14781 POMERADO RD # 530
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City | POWAY
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State | CA
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Zip | 92064-2802
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007926
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9483
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License Number State | CA
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