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General NPI Number Information
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NPI Number | 1639187875
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Entity Type | Organization
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Legal Business Name | MICHAEL J. DODD, M.D., P.A.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 800 PRINCE FREDERICK BLVD.
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678
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Country | US
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Telephone | 410-535-2270
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Fax | 410-535-5749
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Provider Business Mailing Address
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Address Line | 800 PRINCE FREDERICK BLVD.
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678
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Country | US
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Telephone | 410-535-2270
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Fax | 410-535-5749
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DONALD BARTNICK
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Credential |
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Telephone | 410-535-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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