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General NPI Number Information
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NPI Number | 1427270636
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Entity Type | Individual
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Provider Name | DOROTHY KAY DYCUS B.S.N. A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 311 TAMIAMI TRL N SUITE 110
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City | NAPLES
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State | FL
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Zip | 34102-5885
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Country | US
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Telephone | 239-436-6033
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Fax | 239-436-5946
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Provider Business Mailing Address
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Address Line | 98 MADISON DR
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City | NAPLES
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State | FL
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Zip | 34110-1322
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Country | US
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Telephone | 239-514-4745
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2174392
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License Number State | FL
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