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General NPI Number Information
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NPI Number | 1891702593
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Entity Type | Individual
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Provider Name | DOROTHY H DEVINE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 327 S IVY CENTER FOR SELF DISCOVERY
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-419-5908
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Fax | 760-294-2151
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Provider Business Mailing Address
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Address Line | 1374 PANORAMA RIDGE RD
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City | OCEANSIDE
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State | CA
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Zip | 92056-2214
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Country | US
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Telephone | 760-631-5908
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Fax | 760-631-5908
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS#18485
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11980
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | IL
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