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General NPI Number Information
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NPI Number | 1316422322
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Entity Type | Organization
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Legal Business Name | DOCTOR OFFICE MANAGEMENT, INC.
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 409 SECOND AVE STE 201
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3628
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Country | US
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Telephone | 877-366-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 409 SECOND AVE STE 201
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3628
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Country | US
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Telephone | 877-366-7331
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH S DOMINY
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Credential |
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Telephone | 877-366-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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