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General NPI Number Information
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NPI Number | 1558396614
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Entity Type | Individual
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Provider Name | ROBERT P. DOLAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 50 BUCK CREEK RD STE 200
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City | AVON
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State | CO
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Zip | 81620-5428
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Country | US
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Telephone | 970-926-6340
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Fax | 970-926-6348
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Provider Business Mailing Address
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Address Line | 382 S ARTHUR AVE
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City | LOUISVILLE
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State | CO
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Zip | 80027-3094
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Country | US
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Telephone | 303-604-5000
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Fax | 720-890-0364
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 31417
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License Number State | CO
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