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General NPI Number Information
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NPI Number | 1023221801
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Entity Type | Individual
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Provider Name | CHRISTOPHER M DORAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 120 AVON MARKET PL STE 100
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City | AVON
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State | IN
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Zip | 46123-6021
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Country | US
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Telephone | 317-396-1300
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Fax | 317-396-1395
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Provider Business Mailing Address
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Address Line | 13345 ILLINOIS ST
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City | CARMEL
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State | IN
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Zip | 46032-3318
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Country | US
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Telephone | 317-396-1328
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Fax | 317-352-3417
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01066370
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036120703
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2004015938
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License Number State | MO
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