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General NPI Number Information
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NPI Number | 1528352770
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Entity Type | Individual
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Provider Name | CHERYL ANNE DOPKE D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 8404 E SHEA BLVD 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6658
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Country | US
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Telephone | 480-905-0000
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Fax | 480-905-0041
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Provider Business Mailing Address
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Address Line | 50 S 16TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2516
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Country | US
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Telephone | 800-244-6224
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N9042
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46222
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License Number State | AZ
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