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General NPI Number Information
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NPI Number | 1548325095
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Entity Type | Individual
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Provider Name | MAURA HONORA DOYLE PT, DPT, MS, PCS
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 320 E 20TH ST ROOM 218
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City | NEW YORK
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State | NY
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Zip | 10003-1804
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Country | US
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Telephone | 914-318-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 320 E 20TH ST ROOM 218
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City | NEW YORK
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State | NY
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Zip | 10003-1804
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Country | US
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Telephone | 914-318-5199
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 021921
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License Number State | NY
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