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General NPI Number Information
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NPI Number | 1134119852
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Entity Type | Organization
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Legal Business Name | DOYLE MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 WATER ST
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City | MILFORD
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State | MA
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Zip | 01757-4105
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Country | US
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Telephone | 508-634-0017
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Fax | 508-478-6247
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Provider Business Mailing Address
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Address Line | 5 WATER ST
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City | MILFORD
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State | MA
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Zip | 01757-4105
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Country | US
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Telephone | 508-634-0017
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Fax | 508-478-6247
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER CHARLES DOYLE
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Credential | M.D.
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Telephone | 508-634-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 205029
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License Number State | MA
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