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General NPI Number Information
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NPI Number | 1518118231
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Entity Type | Individual
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Provider Name | MARIE E DORIA MEDICAL DOCTOR
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Gender | Female
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 4295 ROUTE 47 SSCF
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City | DELMONT
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State | NJ
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Zip | 08302
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Country | US
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Telephone | 856-785-1300
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Fax | 856-785-9016
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Provider Business Mailing Address
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Address Line | 118 ROCKINGHAM RD
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City | CHERRY HILL
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State | NJ
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Zip | 08034-3360
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Country | US
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Telephone | 609-315-6878
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA31351
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License Number State | NJ
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