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General NPI Number Information
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NPI Number | 1275605727
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Entity Type | Individual
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Provider Name | BRIAN PAUL DOORLEY PT
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 2400 W DUNLAP AVE STE 145
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City | PHOENIX
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State | AZ
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Zip | 85021-2813
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Country | US
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Telephone | 602-870-1414
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Fax | 602-870-4141
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Provider Business Mailing Address
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Address Line | 3402 N WARREN DRIVE
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City | ANTHEM
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State | AZ
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Zip | 85086
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Country | US
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Telephone | 623-551-0047
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | LPT-004054
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License Number State | AZ
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