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General NPI Number Information
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NPI Number | 1306848965
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Entity Type | Individual
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Provider Name | BRIAN S DOORECK MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4420 LAKE BOONE TRL
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City | RALEIGH
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State | NC
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Zip | 27607-7505
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Country | US
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Telephone | 919-784-5050
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Fax | 919-784-1487
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Provider Business Mailing Address
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Address Line | 2245 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-963-0888
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Fax | 954-985-9818
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2024-02434
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 99812
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME85567
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | DR.0074596
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 5171076
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License Number State | ID
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