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General NPI Number Information
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NPI Number | 1619015211
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Entity Type | Individual
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Provider Name | MARGARET J. DORFMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 12/18/2016
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Provider Practice Location Address
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Address Line | 3909 SUNSET RIDGE RD SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27607-6668
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Country | US
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Telephone | 919-845-1555
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Fax | 919-845-1558
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Provider Business Mailing Address
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Address Line | 2321 BLUE RIDGE RD SUITE 102
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City | RALEIGH
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State | NC
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Zip | 27607-0163
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Country | US
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Telephone | 919-845-1555
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Fax | 919-845-1558
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25014
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License Number State | NC
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