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General NPI Number Information
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NPI Number | 1174833735
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Entity Type | Organization
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Legal Business Name | DOVE PODIATRY PA
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 8817 BELAIR RD STE 109
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2445
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Country | US
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Telephone | 410-870-3325
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Fax | 410-870-3631
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Provider Business Mailing Address
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Address Line | 8817 BELAIR RD STE 109
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2445
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Country | US
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Telephone | 410-870-3325
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Fax | 410-870-3631
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH E DOVE
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Credential | DPM
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Telephone | 410-870-3325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 01030
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License Number State | MD
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