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General NPI Number Information
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NPI Number | 1831213826
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Entity Type | Individual
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Provider Name | MICHAEL JAY DOTSON L.P.A., L.P.A.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1301 HUNTERS GLEN RD
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City | SAN ANGELO
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State | TX
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Zip | 76901-5005
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Country | US
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Telephone | 325-947-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 HUNTERS GLEN RD
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City | SAN ANGELO
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State | TX
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Zip | 76901-5005
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Country | US
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Telephone | 325-947-7080
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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 | 13692
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 30906
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License Number State | TX
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