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General NPI Number Information
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NPI Number | 1093999260
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Entity Type | Organization
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Legal Business Name | DR. KYLE W DOAN DC
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 7725 HOLIDAY DR
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City | SARASOTA
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State | FL
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Zip | 34231-5313
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Country | US
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Telephone | 941-957-8148
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Fax | 941-218-4464
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Provider Business Mailing Address
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Address Line | 1633 BOATHOUSE CIR APT HA234
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City | SARASOTA
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State | FL
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Zip | 34231-8966
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Country | US
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Telephone | 941-957-9148
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Fax | 941-218-4464
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE W DOAN
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Credential | DC
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Telephone | 941-957-9148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X005251
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License Number State | NY
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