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General NPI Number Information
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NPI Number | 1992950885
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Entity Type | Individual
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Provider Name | PAUL DOLNICK M.A., N.C.C.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 20801 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-1430
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Country | US
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Telephone | 954-467-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 548 CAMBRIDGE DR
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City | WESTON
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State | FL
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Zip | 33326-3561
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Country | US
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Telephone | 954-467-1002
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Fax | 954-384-2815
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC1363
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License Number State | FL
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