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General NPI Number Information
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NPI Number | 1477069854
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Entity Type | Individual
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Provider Name | JEFFREY ROBERT DORE PA
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Gender | Male
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 371 ASHEVILLE HWY
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City | BREVARD
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State | NC
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Zip | 28712
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Country | US
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Telephone | 248-760-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 212 THOMPSON ST STE A
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2895
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Country | US
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Telephone | 828-697-3232
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Fax | 828-698-0125
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-007803
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License Number State | NC
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