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General NPI Number Information
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NPI Number | 1316084007
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Entity Type | Organization
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Legal Business Name | JOSEPH DOYLE MD INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41120 WASHINGTON ST STE 103
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City | BERMUDA DUNES
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State | CA
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Zip | 92203-9596
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Country | US
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Telephone | 760-200-4310
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Fax | 760-200-4360
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Provider Business Mailing Address
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Address Line | PO BOX 13748
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City | PALM DESERT
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State | CA
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Zip | 92255-3748
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Country | US
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Telephone | 760-200-4310
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Fax | 760-200-4360
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Authorized Official
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Title or Position | OWNER CEO
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Name | JOSEPH GERARD DOYLE
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Credential | M.D.
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Telephone | 760-200-4310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G61904
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License Number State | CA
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