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General NPI Number Information
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NPI Number | 1497707574
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Entity Type | Individual
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Provider Name | RICHARD DOUYON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 18503 PINES BLVD STE 214 SUITE 214
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1408
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Country | US
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Telephone | 954-432-3800
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Fax | 866-404-8639
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Provider Business Mailing Address
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Address Line | 18503 PINES BLVD SUITE 214
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1404
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Country | US
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Telephone | 954-432-3800
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Fax | 866-404-8639
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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 | ME60811
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License Number State | FL
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