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General NPI Number Information
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NPI Number | 1114037645
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Entity Type | Individual
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Provider Name | MARY DOYLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 9320 TELSTAR AVE SUITE 226
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City | EL MONTE
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State | CA
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Zip | 91731-2834
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Country | US
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Telephone | 626-569-6484
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Fax |
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Provider Business Mailing Address
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Address Line | 9320 TELSTAR AVENUE SUITE 226, ROOM 246
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City | EL MONTE
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State | CA
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Zip | 91731
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Country | US
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Telephone | 626-569-6484
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Fax | 626-569-9346
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G56282
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License Number State | CA
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