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General NPI Number Information
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NPI Number | 1972712552
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Entity Type | Individual
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Provider Name | MS. PATRICIA YVONNE DOSS-JONES
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17800 S MAIN ST SUITE 103
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City | GARDENA
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State | CA
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Zip | 90248-3500
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Country | US
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Telephone | 310-532-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 19702 DUNBROOKE AVE
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City | CARSON
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State | CA
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Zip | 90746-2310
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Country | US
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Telephone | 310-981-0854
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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