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General NPI Number Information
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NPI Number | 1194808717
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Entity Type | Individual
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Provider Name | JOHN J DOERR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 914 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2708
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Country | US
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Telephone | 973-777-5022
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Fax | 973-594-4769
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Provider Business Mailing Address
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Address Line | PO BOX 684
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City | CLIFTON
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State | NJ
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Zip | 07012-0684
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Country | US
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Telephone | 973-777-5022
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Fax | 973-594-4769
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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 | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number | MA048966
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | MA048966
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number | MA048966
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | MA048966
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA04896600
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License Number State | NJ
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