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General NPI Number Information
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NPI Number | 1346431376
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Entity Type | Individual
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Provider Name | HEATHER LEA DODDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 1028 BOULEVARD #230
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1801
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Country | US
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Telephone | 860-836-5961
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 BOULEVARD #230
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1801
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Country | US
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Telephone | 860-836-5961
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 239537
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD28539
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 046168
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 018257
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD13232
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License Number State | RI
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