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General NPI Number Information
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NPI Number | 1841582996
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Entity Type | Organization
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Legal Business Name | DOCKERY & ASSOCIATES
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | 1340 SLEDGE DR
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City | MOBILE
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State | AL
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Zip | 36606-3021
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Country | US
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Telephone | 251-599-7339
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Fax | 251-478-7862
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Provider Business Mailing Address
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Address Line | 1340 SLEDGE DR
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City | MOBILE
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State | AL
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Zip | 36606-3021
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Country | US
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Telephone | 251-599-7339
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Fax | 251-478-7862
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Authorized Official
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Title or Position | OWNER
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Name | MR. HERBERT DONALD DOCKERY
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Credential | LPC
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Telephone | 251-599-7339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC
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License Number State | AL
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