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General NPI Number Information
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NPI Number | 1255411732
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Entity Type | Individual
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Provider Name | DORIS A DORSEY RNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MMG - CHCC 305 EAST 161ST STREET
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-579-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 9 KRUEGER CT
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City | NEWARK
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State | NJ
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Zip | 07103-3464
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Country | US
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Telephone | 718-579-2500
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Fax | 718-579-2599
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F420117
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License Number State | NY
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