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General NPI Number Information
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NPI Number | 1669057535
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Entity Type | Individual
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Provider Name | PHILIP WILLIAM DOCKERY MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3745 CORPORATE WOODS DR
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City | VESTAVIA
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State | AL
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Zip | 35242-2208
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Country | US
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Telephone | 205-933-1077
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Fax | 205-930-0829
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Provider Business Mailing Address
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Address Line | 3745 CORPORATE WOODS DR
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City | VESTAVIA
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State | AL
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Zip | 35242-2208
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Country | US
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Telephone | 205-933-1077
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Fax | 205-930-0829
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD51450
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License Number State | AL
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