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General NPI Number Information
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NPI Number | 1194816769
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Entity Type | Individual
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Provider Name | COLIN STEPHEN DOYLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 3779 SWALLOWS NEST CT
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City | CLARKSTON
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State | WA
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Zip | 99403-1738
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Country | US
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Telephone | 208-503-0629
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Fax |
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Provider Business Mailing Address
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Address Line | 3779 SWALLOWS NEST CT
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City | CLARKSTON
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State | WA
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Zip | 99403-1738
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Country | US
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Telephone | 208-503-0629
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | M-3499
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD00014948
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M-3499
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00014948
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License Number State | WA
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