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General NPI Number Information
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NPI Number | 1154419471
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Entity Type | Individual
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Provider Name | EDWARD J DOOLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 215-590-2730
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Fax | 215-590-4875
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Provider Business Mailing Address
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Address Line | 100 E PENN SQ THE WANAMAKER BUILDING 9TH FL
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3323
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Country | US
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Telephone | 267-425-9538
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Fax | 267-425-9552
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD039201E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | MDO39201E
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License Number State | PA
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