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General NPI Number Information
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NPI Number | 1225014863
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Entity Type | Individual
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Provider Name | MAUREEN ANN DOHERTY DO
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1613 HARRISON PKWY #200
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City | SUNRISE
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State | FL
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Zip | 33323-2853
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Country | US
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Telephone | 954-838-2371
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 817737
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City | HOLLYWOOD
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State | FL
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Zip | 33081-1737
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Country | US
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Telephone | 954-838-2371
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4318
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS7349
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 39526
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H0061407
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2004031366
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L8326
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101016261
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-4152
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License Number State | AR
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Taxonomy #9
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 33590
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 032551
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License Number State | GA
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Taxonomy #11
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO. 000004
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License Number State | LA
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Taxonomy #12
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO. 000004
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License Number State | IN
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Taxonomy #13
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2153
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License Number State | WV
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Taxonomy #14
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | IL
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