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General NPI Number Information
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NPI Number | 1386581940
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Entity Type | Individual
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Provider Name | DOLORES V KING
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 109 COLLEGIATE LOOP
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City | TALLAHASSEE
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State | FL
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Zip | 32306-2139
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Country | US
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Telephone | 850-644-9699
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MISSION TRACE BLVD APT J2
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City | TALLAHASSEE
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State | FL
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Zip | 32303-2856
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Country | US
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Telephone | 904-607-6432
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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