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General NPI Number Information
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NPI Number | 1457440471
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Entity Type | Individual
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Provider Name | JOSEPH RAYMOND DOUMIT M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 6261 KATELLA AVE STE 150
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City | CYPRESS
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State | CA
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Zip | 90630-5249
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Country | US
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Telephone | 714-820-1657
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Fax | 855-663-2244
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Provider Business Mailing Address
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Address Line | 6261 KATELLA AVE STE 150
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City | CYPRESS
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State | CA
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Zip | 90630-5249
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Country | US
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Telephone | 714-820-1657
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Fax | 855-663-2244
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60232889
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0063931
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 59277
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License Number State | AZ
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