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General NPI Number Information
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NPI Number | 1992776215
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Entity Type | Individual
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Provider Name | JUDITH B. DOLAN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8149 N 87TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4399
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Country | US
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Telephone | 602-622-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 19475 N GRAYHAWK DR #1119
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7414
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Country | US
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Telephone | 480-515-1248
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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 | LPC# 2275
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License Number State | AZ
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