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General NPI Number Information
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NPI Number | 1629058821
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Entity Type | Individual
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Provider Name | JOHN ROBERT DORSCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 4881 SUGAR MAPLE DR
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City | DAYTON
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State | OH
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Zip | 45433-5529
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Country | US
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Telephone | 937-257-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 1434 BAREBACK TRL
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City | BEAVERCREEK
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State | OH
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Zip | 45434-5618
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Country | US
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Telephone | 937-912-9113
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 02002516A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 201100786
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2011-00786
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License Number State | NC
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