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General NPI Number Information
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NPI Number | 1518815729
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Entity Type | Organization
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Legal Business Name | DOCTRONIC PHYSICIANS GROUP WY, P.C.
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 140 E BROADWAY AVE STE 25
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City | JACKSON
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State | WY
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Zip | 83001-8632
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Country | US
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Telephone | 415-340-2274
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Fax | 415-621-9221
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Provider Business Mailing Address
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Address Line | 6742 FOREST HILL BLVD STE 283
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City | GREENACRES
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State | FL
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Zip | 33413-3321
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Country | US
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Telephone | 415-340-2274
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Fax | 415-621-9221
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | THOMAS FOLEY
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Credential |
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Telephone | 201-321-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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