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General NPI Number Information
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NPI Number | 1609858612
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Entity Type | Individual
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Provider Name | DAMIAN FRANCIS DOLAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 85 N GRAND AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-1793
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Country | US
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Telephone | 859-572-3232
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Fax | 859-572-3727
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Provider Business Mailing Address
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Address Line | 20 MEDICAL VILLAGE DR SUITE 258
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City | EDGEWOOD
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State | KY
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Zip | 41017-5401
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Country | US
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Telephone | 859-341-7246
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Fax | 859-341-7867
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35060078D
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 38010
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38010
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License Number State | KY
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