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General NPI Number Information
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NPI Number | 1396717641
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Entity Type | Individual
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Provider Name | LISA L. DOANE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 26555 W 106TH TER
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City | OLATHE
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State | KS
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Zip | 66061-7410
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Country | US
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Telephone | 913-768-4626
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Fax |
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Provider Business Mailing Address
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Address Line | 26555 W 106TH TER
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City | OLATHE
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State | KS
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Zip | 66061-7410
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Country | US
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Telephone | 913-768-4626
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-23094
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | R6G77
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License Number State | MO
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