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General NPI Number Information
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NPI Number | 1396701645
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Entity Type | Individual
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Provider Name | KEVIN ARTHUR DOLAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 1201 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1201
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Country | US
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Telephone | 215-710-2196
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Fax | 215-710-2408
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Provider Business Mailing Address
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Address Line | 1201 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1201
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Country | US
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Telephone | 215-710-2196
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Fax | 215-710-2408
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD068241L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD068241L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 068241L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA10215900
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License Number State | NJ
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