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General NPI Number Information
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NPI Number | 1407809957
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Entity Type | Individual
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Provider Name | B BERENICE DOOLEY N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 121 LEGION DR
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City | COBLESKILL
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State | NY
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Zip | 12043-5111
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Country | US
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Telephone | 518-254-2555
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Fax | 518-234-3415
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | COOPERSTOWN
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State | NY
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Zip | 13326-0725
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Country | US
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Telephone | 607-547-3909
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Fax | 607-547-6325
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301410
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License Number State | NY
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