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NPI 1174090914

NPI 1174090914 : DEBORAH ANN DOYLE RN,MSN,IBCLC : DOVER, DE

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General NPI Number Information
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    NPI Number           |    1174090914
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH ANN DOYLE RN,MSN,IBCLC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2018
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    Last Update Date     |    10/30/2018
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Provider Practice Location Address
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    Address Line         |    640 S STATE ST 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19901-3530
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    Country              |    US
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    Telephone            |    302-744-7233
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1522 RISING SUN RD 
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    City                 |    CAMDEN
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    State                |    DE
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    Zip                  |    19934-1916
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    Country              |    US
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    Telephone            |    302-632-2644
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    Fax                  |    
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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        |    163WL0100X
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    Taxonomy Name        |    Lactation Consultant (Registered Nurse)
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    License Number       |    L1-0041420
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    License Number State |    DE
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