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General NPI Number Information
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NPI Number | 1154433290
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Entity Type | Individual
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Provider Name | ROBERT EHREN DOTY DC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 16601 N 40TH ST STE 125
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City | PHOENIX
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State | AZ
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Zip | 85032-3355
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Country | US
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Telephone | 480-292-1735
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Fax | 480-383-6516
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Provider Business Mailing Address
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Address Line | 20803 N 38TH ST
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City | PHOENIX
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State | AZ
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Zip | 85050-4871
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Country | US
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Telephone | 480-292-1735
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Fax | 480-383-6516
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4349
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7669
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License Number State | AZ
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