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General NPI Number Information
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NPI Number | 1174747737
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Entity Type | Individual
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Provider Name | BRUCE R DOOLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2583 E, SUNRISE BLVD
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City | FT. LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-564-8888
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Fax | 954-565-3111
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Provider Business Mailing Address
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Address Line | 1820 N.E. JENSEN BEACH BLVD. SUITE 621
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City | JENSEN BEACH
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State | FL
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Zip | 34957
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Country | US
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Telephone | 772-225-7737
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Fax | 772-225-7067
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | ME45210
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License Number State | FL
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