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General NPI Number Information
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NPI Number | 1326063777
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Entity Type | Individual
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Provider Name | DAVID S DOANE PHD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 316 LOUISIANA AVE
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City | PERRYSBURG
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State | OH
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Zip | 43551-1461
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Country | US
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Telephone | 419-874-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 316 LOUISIANA AVE
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City | PERRYSBURG
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State | OH
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Zip | 43551-1461
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Country | US
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Telephone | 419-874-3212
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1289
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License Number State | OH
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