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General NPI Number Information
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NPI Number | 1497063861
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Entity Type | Individual
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Provider Name | DANIEL DOYLE M.A.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 474 E. VALLEY ST.
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City | WILLITS
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State | CA
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Zip | 95490
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Country | US
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Telephone | 707-456-3857
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Fax | 707-456-3735
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Provider Business Mailing Address
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Address Line | 474 E. VALLEY ST.
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City | WILLITS
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State | CA
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Zip | 95490
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Country | US
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Telephone | 707-456-3857
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Fax | 707-456-3735
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU 1877
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License Number State | CA
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