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General NPI Number Information
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NPI Number | 1407798192
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Entity Type | Organization
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Legal Business Name | DOAN MED LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 9 FISH RD
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City | WELLSBORO
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State | PA
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Zip | 16901-6913
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Country | US
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Telephone | 570-404-9795
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Fax | 570-373-8821
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Provider Business Mailing Address
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Address Line | 9 FISH RD
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City | WELLSBORO
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State | PA
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Zip | 16901-6913
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Country | US
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Telephone | 570-404-9795
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Fax | 570-373-8821
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | PERRY W DOAN JR.
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Credential | DO
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Telephone | 570-404-9795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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