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General NPI Number Information
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NPI Number | 1932599537
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Entity Type | Individual
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Provider Name | DENISE GRETCHEN-DOORLY PH.D
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Gender | Female
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 9171 WILSHIRE BLVD PENTHOUSE SUITE
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5530
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Country | US
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Telephone | 310-988-9942
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Fax |
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Provider Business Mailing Address
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Address Line | 9171 WILSHIRE BLVD PENTHOUSE SUITE
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5530
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Country | US
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Telephone | 310-988-9942
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY25131
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License Number State | CA
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