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General NPI Number Information
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NPI Number | 1346052826
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Entity Type | Individual
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Provider Name | JULIANNA VICTORIA DORAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST FL 6
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4229
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Country | US
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Telephone | 215-316-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 58 SWEDESFORD RD UNIT 218
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City | MALVERN
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State | PA
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Zip | 19355-1688
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Country | US
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Telephone | 239-777-7816
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MA066335
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License Number State | PA
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