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NPI 1033107115

NPI 1033107115 : LINDA DOLIN MD : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1033107115
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA DOLIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/12/2005
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    Last Update Date     |    05/18/2012
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Provider Practice Location Address
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    Address Line         |    7777 GLADES ROAD STE 100
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33434-4150
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    Country              |    US
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    Telephone            |    561-573-3495
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    Fax                  |    888-910-3040
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Provider Business Mailing Address
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    Address Line         |    7777 GLADES ROAD STE 100
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33434-4150
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    Country              |    US
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    Telephone            |    561-573-3495
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    Fax                  |    888-910-3040
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME56018
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207RA0000X
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    Taxonomy Name        |    Adolescent Medicine (Internal Medicine) Physician
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    License Number       |    ME56018
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    License Number State |    FL
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