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General NPI Number Information
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NPI Number | 1649265463
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Entity Type | Individual
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Provider Name | VAISHALI B DOOLABH MD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 7035 SOUTHPOINT PKWY S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8709
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Country | US
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Telephone | 904-854-4800
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Fax | 904-854-4801
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Provider Business Mailing Address
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Address Line | 3948 3RD ST S
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City | JACKSONVILLE
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone |
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME82927
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME82927
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License Number State | FL
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