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General NPI Number Information
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NPI Number | 1154559920
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Entity Type | Individual
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Provider Name | DOROTHY J TODT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 5885 SUNNYBROOK DR SUITE E-100
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City | SIOUX CITY
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State | IA
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Zip | 51106-4203
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Country | US
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Telephone | 712-266-2700
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Fax | 712-266-2759
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Provider Business Mailing Address
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Address Line | 5885 SUNNYBROOK DR SUITE E-100
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City | SIOUX CITY
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State | IA
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Zip | 51106-4203
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Country | US
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Telephone | 712-266-2700
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Fax | 712-266-2759
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD40401
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40401
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License Number State | IA
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